Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $454.61 / $2,747.00 / $7,920.26	Facility		$454.61	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $222.55 / $301.64 / $1,188.97	Professional		$222.55	$301.64	$1,188.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.57 / $468.04 / $671.65	Professional		$309.57	$468.04	$671.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $355.49 / $501.68 / $571.10	Professional		$355.49	$501.68	$571.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $217.56 / $431.35 / $648.53	Facility		$217.56	$431.35	$648.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $365.59 / $520.69 / $726.75	Professional		$365.59	$520.69	$726.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $313.73 / $433.05 / $465.12	Facility		$313.73	$433.05	$465.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $217.56 / $470.41 / $648.53	Facility		$217.56	$470.41	$648.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $397.87 / $542.99 / $700.40	Professional		$397.87	$542.99	$700.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,220.85 / $1,220.85 / $1,220.85	Facility		$1,220.85	$1,220.85	$1,220.85
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $418.22 / $550.19 / $724.74	Professional		$418.22	$550.19	$724.74
United Facility/Professional Facility Modifier Low / Median / High Price $2,364.00 / $7,664.00 / $36,803.00	Facility		$2,364.00	$7,664.00	$36,803.00
United Facility/Professional Professional Modifier Low / Median / High Price $351.84 / $535.08 / $716.71	Professional		$351.84	$535.08	$716.71