Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $620.09 / $7,920.26 / $13,320.00	Facility		$620.09	$7,920.26	$13,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $285.41 / $374.02 / $929.81	Professional		$285.41	$374.02	$929.81
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 $411.24 / $681.03 / $1,073.84	Professional		$411.24	$681.03	$1,073.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $668.62 / $784.74 / $939.59	Professional		$668.62	$784.74	$939.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $475.30 / $634.32 / $881.45	Facility		$475.30	$634.32	$881.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $540.00 / $622.66 / $960.69	Professional		$540.00	$622.66	$960.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $475.78 / $664.51 / $731.64	Facility		$475.78	$664.51	$731.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $481.00 / $689.45 / $5,217.00	Facility		$481.00	$689.45	$5,217.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $608.19 / $731.96 / $1,002.78	Professional		$608.19	$731.96	$1,002.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,820.30 / $4,901.89 / $6,016.60	Facility		$3,820.30	$4,901.89	$6,016.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $665.47 / $852.31 / $1,145.51	Professional		$665.47	$852.31	$1,145.51
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $2,983.00 / $4,911.00	Facility		$1,106.00	$2,983.00	$4,911.00
United Facility/Professional Professional Modifier Low / Median / High Price $500.82 / $720.37 / $1,125.85	Professional		$500.82	$720.37	$1,125.85