Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $312.08 / $7,920.26 / $20,400.00	Facility		$312.08	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.63 / $373.32 / $846.95	Professional		$134.63	$373.32	$846.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $250.26 / $419.90 / $784.83	Professional		$250.26	$419.90	$784.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $272.60 / $395.98 / $659.26	Professional		$272.60	$395.98	$659.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $197.87 / $415.29 / $708.82	Facility		$197.87	$415.29	$708.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $230.03 / $430.72 / $802.56	Professional		$230.03	$430.72	$802.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $271.14 / $492.64 / $561.67	Facility		$271.14	$492.64	$561.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $197.87 / $415.29 / $708.82	Facility		$197.87	$415.29	$708.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $271.36 / $436.72 / $759.00	Professional		$271.36	$436.72	$759.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,539.09 / $11,131.60 / $14,269.30	Facility		$8,539.09	$11,131.60	$14,269.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $274.50 / $488.53 / $781.69	Professional		$274.50	$488.53	$781.69
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00
United Facility/Professional Professional Modifier Low / Median / High Price $426.39 / $621.48 / $877.72	Professional		$426.39	$621.48	$877.72