Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $638.66 / $4,962.67 / $15,341.00	Facility		$638.66	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $243.50 / $369.13 / $710.38	Professional		$243.50	$369.13	$710.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.14 / $695.97 / $1,087.78	Professional		$436.14	$695.97	$1,087.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $463.53 / $674.22 / $947.17	Professional		$463.53	$674.22	$947.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $382.97 / $575.25 / $906.59	Facility		$382.97	$575.25	$906.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $467.00 / $651.66 / $928.34	Professional		$467.00	$651.66	$928.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $510.32 / $793.25 / $1,990.72	Facility		$510.32	$793.25	$1,990.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $382.97 / $618.29 / $3,005.10	Facility		$382.97	$618.29	$3,005.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $532.58 / $750.10 / $1,022.59	Professional		$532.58	$750.10	$1,022.59
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,536.02 / $8,364.56 / $10,637.18	Facility		$6,536.02	$8,364.56	$10,637.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $560.65 / $789.18 / $1,155.00	Professional		$560.65	$789.18	$1,155.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00
United Facility/Professional Professional Modifier Low / Median / High Price $548.01 / $781.21 / $1,205.16	Professional		$548.01	$781.21	$1,205.16