Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $459.20 / $4,684.68 / $8,728.00	Facility		$459.20	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.34 / $340.09 / $1,074.93	Professional		$173.34	$340.09	$1,074.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $327.52 / $550.63 / $920.77	Professional		$327.52	$550.63	$920.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $410.43 / $555.94 / $826.55	Professional		$410.43	$555.94	$826.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $297.79 / $509.17 / $774.73	Facility		$297.79	$509.17	$774.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $328.18 / $533.02 / $1,000.98	Professional		$328.18	$533.02	$1,000.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $306.66 / $535.33 / $682.73	Facility		$306.66	$535.33	$682.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $297.79 / $574.09 / $1,738.00	Facility		$297.79	$574.09	$1,738.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $392.50 / $588.16 / $920.77	Professional		$392.50	$588.16	$920.77
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,328.38 / $8,364.56 / $10,637.18	Facility		$5,328.38	$8,364.56	$10,637.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $406.57 / $627.95 / $967.40	Professional		$406.57	$627.95	$967.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $494.55 / $783.96 / $1,133.31	Professional		$494.55	$783.96	$1,133.31