Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.18 / $5,649.00 / $15,341.00	Facility		$371.18	$5,649.00	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.33 / $259.73 / $923.19	Professional		$156.33	$259.73	$923.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.02 / $377.15 / $496.69	Professional		$257.02	$377.15	$496.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $267.45 / $377.62 / $425.16	Professional		$267.45	$377.62	$425.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $259.73 / $371.20 / $558.41	Facility		$259.73	$371.20	$558.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $265.80 / $314.88 / $528.38	Professional		$265.80	$314.88	$528.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $248.06 / $325.83 / $353.28	Facility		$248.06	$325.83	$353.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $259.73 / $423.90 / $3,274.00	Facility		$259.73	$423.90	$3,274.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $309.14 / $397.41 / $496.69	Professional		$309.14	$397.41	$496.69
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,032.32 / $5,176.14 / $6,353.74	Facility		$4,032.32	$5,176.14	$6,353.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $303.83 / $406.97 / $520.29	Professional		$303.83	$406.97	$520.29
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,241.93 / $7,385.00	Facility		$1,689.00	$5,241.93	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $262.08 / $381.76 / $525.55	Professional		$262.08	$381.76	$525.55