Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $441.11 / $2,747.00 / $13,320.00	Facility		$441.11	$2,747.00	$13,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.58 / $280.22 / $885.03	Professional		$171.58	$280.22	$885.03
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 $305.57 / $531.29 / $904.66	Professional		$305.57	$531.29	$904.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $470.98 / $597.05 / $877.10	Professional		$470.98	$597.05	$877.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $280.22 / $456.04 / $713.15	Facility		$280.22	$456.04	$713.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $345.80 / $512.14 / $797.56	Professional		$345.80	$512.14	$797.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $361.00 / $590.15 / $718.91	Facility		$361.00	$590.15	$718.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $280.22 / $463.74 / $854.07	Facility		$280.22	$463.74	$854.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $371.07 / $559.54 / $844.57	Professional		$371.07	$559.54	$844.57
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,364.17 / $10,171.54 / $12,117.15	Facility		$6,364.17	$10,171.54	$12,117.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $375.68 / $574.44 / $884.97	Professional		$375.68	$574.44	$884.97
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,529.00 / $12,786.00	Facility		$1,981.00	$9,529.00	$12,786.00
United Facility/Professional Professional Modifier Low / Median / High Price $431.03 / $628.59 / $967.63	Professional		$431.03	$628.59	$967.63