Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.50 / $4,704.00 / $8,728.00	Facility		$295.50	$4,704.00	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.37 / $203.99 / $713.49	Professional		$125.37	$203.99	$713.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,487.79 / $1,487.79 / $1,937.44	Facility		$1,487.79	$1,487.79	$1,937.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.25 / $281.52 / $409.25	Professional		$176.25	$281.52	$409.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $214.51 / $281.68 / $344.99	Professional		$214.51	$281.68	$344.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $165.92 / $318.12 / $478.92	Facility		$165.92	$318.12	$478.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $221.05 / $279.54 / $419.52	Professional		$221.05	$279.54	$419.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $199.91 / $261.32 / $392.35	Facility		$199.91	$261.32	$392.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $182.93 / $340.67 / $602.57	Facility		$182.93	$340.67	$602.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $236.64 / $302.04 / $394.90	Professional		$236.64	$302.04	$394.90
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,389.68 / $5,951.19 / $7,123.24	Facility		$4,389.68	$5,951.19	$7,123.24
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $244.17 / $314.45 / $411.38	Professional		$244.17	$314.45	$411.38
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 $208.29 / $318.24 / $440.66	Professional		$208.29	$318.24	$440.66