Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $592.82 / $4,962.67 / $15,341.00	Facility		$592.82	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $267.25 / $378.35 / $958.39	Professional		$267.25	$378.35	$958.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,310.00 / $2,310.00 / $2,400.80	Facility		$2,310.00	$2,310.00	$2,400.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $349.33 / $629.10 / $984.55	Professional		$349.33	$629.10	$984.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $507.66 / $690.32 / $888.93	Professional		$507.66	$690.32	$888.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $357.41 / $580.21 / $904.84	Facility		$357.41	$580.21	$904.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $436.05 / $580.20 / $878.20	Professional		$436.05	$580.20	$878.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $420.68 / $687.05 / $734.32	Facility		$420.68	$687.05	$734.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $363.86 / $609.22 / $1,022.79	Facility		$363.86	$609.22	$1,022.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $498.48 / $692.79 / $960.08	Professional		$498.48	$692.79	$960.08
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,382.73 / $9,721.75 / $12,052.68	Facility		$7,382.73	$9,721.75	$12,052.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $514.67 / $703.97 / $997.14	Professional		$514.67	$703.97	$997.14
United Facility/Professional Facility Modifier Low / Median / High Price $1,472.00 / $4,880.00 / $7,233.00	Facility		$1,472.00	$4,880.00	$7,233.00
United Facility/Professional Professional Modifier Low / Median / High Price $530.40 / $748.79 / $1,135.44	Professional		$530.40	$748.79	$1,135.44