Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $442.59 / $4,962.67 / $15,341.00	Facility		$442.59	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.33 / $290.22 / $589.51	Professional		$198.33	$290.22	$589.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $314.06 / $524.88 / $919.85	Professional		$314.06	$524.88	$919.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $348.16 / $480.73 / $793.29	Professional		$348.16	$480.73	$793.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $269.75 / $465.02 / $746.21	Facility		$269.75	$465.02	$746.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $322.36 / $517.65 / $710.14	Professional		$322.36	$517.65	$710.14
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $338.01 / $579.50 / $686.08	Facility		$338.01	$579.50	$686.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $277.91 / $501.69 / $1,178.67	Facility		$277.91	$501.69	$1,178.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $371.48 / $554.60 / $856.76	Professional		$371.48	$554.60	$856.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,400.90 / $1,985.16 / $2,487.37	Facility		$1,400.90	$1,985.16	$2,487.37
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $385.20 / $631.02 / $972.14	Professional		$385.20	$631.02	$972.14
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 $446.09 / $641.52 / $1,062.93	Professional		$446.09	$641.52	$1,062.93