Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $351.30 / $747.55 / $6,616.00	Facility		$351.30	$747.55	$6,616.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.95 / $285.61 / $769.25	Professional		$173.95	$285.61	$769.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.60 / $526.51 / $894.45	Professional		$316.60	$526.51	$894.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $342.54 / $493.71 / $780.65	Professional		$342.54	$493.71	$780.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $263.07 / $453.00 / $735.48	Facility		$263.07	$453.00	$735.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $330.36 / $511.56 / $699.03	Professional		$330.36	$511.56	$699.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $328.97 / $548.98 / $674.69	Facility		$328.97	$548.98	$674.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $263.07 / $483.85 / $1,160.23	Facility		$263.07	$483.85	$1,160.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $378.00 / $547.50 / $843.36	Professional		$378.00	$547.50	$843.36
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $900.57 / $1,208.00 / $1,492.71	Facility		$900.57	$1,208.00	$1,492.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $394.91 / $618.11 / $952.24	Professional		$394.91	$618.11	$952.24
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $3,290.00 / $6,216.00	Facility		$376.00	$3,290.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $434.28 / $600.60 / $955.05	Professional		$434.28	$600.60	$955.05