Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $395.75 / $7,920.26 / $20,400.00	Facility		$395.75	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.60 / $247.63 / $565.91	Professional		$165.60	$247.63	$565.91
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 $232.15 / $362.18 / $530.90	Professional		$232.15	$362.18	$530.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $328.53 / $385.00 / $461.67	Professional		$328.53	$385.00	$461.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $247.63 / $344.76 / $518.34	Facility		$247.63	$344.76	$518.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $281.80 / $330.24 / $560.19	Professional		$281.80	$330.24	$560.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $264.11 / $345.44 / $375.77	Facility		$264.11	$345.44	$375.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $247.63 / $376.22 / $2,748.00	Facility		$247.63	$376.22	$2,748.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $306.56 / $362.31 / $486.41	Professional		$306.56	$362.31	$486.41
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,715.78 / $10,171.54 / $12,117.15	Facility		$7,715.78	$10,171.54	$12,117.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $324.12 / $413.67 / $555.97	Professional		$324.12	$413.67	$555.97
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00
United Facility/Professional Professional Modifier Low / Median / High Price $244.29 / $349.67 / $545.99	Professional		$244.29	$349.67	$545.99