Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $734.75 / $2,747.00 / $13,320.00	Facility		$734.75	$2,747.00	$13,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $311.14 / $466.35 / $1,220.25	Professional		$311.14	$466.35	$1,220.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $842.00	Facility		$842.00	$842.00	$842.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $443.32 / $747.23 / $1,200.29	Professional		$443.32	$747.23	$1,200.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $688.43 / $857.15 / $1,100.42	Professional		$688.43	$857.15	$1,100.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $426.55 / $677.93 / $991.97	Facility		$426.55	$677.93	$991.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $533.17 / $715.72 / $1,059.90	Professional		$533.17	$715.72	$1,059.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $492.85 / $821.42 / $910.53	Facility		$492.85	$821.42	$910.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $434.49 / $703.03 / $1,212.54	Facility		$434.49	$703.03	$1,212.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $601.40 / $836.64 / $1,175.76	Professional		$601.40	$836.64	$1,175.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,382.73 / $9,721.75 / $12,751.18	Facility		$7,382.73	$9,721.75	$12,751.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $609.49 / $873.84 / $1,230.96	Professional		$609.49	$873.84	$1,230.96
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $16,268.00 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00
United Facility/Professional Professional Modifier Low / Median / High Price $592.62 / $885.35 / $1,401.70	Professional		$592.62	$885.35	$1,401.70