Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $600.37 / $4,704.00 / $8,728.00	Facility		$600.37	$4,704.00	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $254.00 / $372.78 / $1,182.54	Professional		$254.00	$372.78	$1,182.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,089.75 / $1,089.75 / $2,059.63	Facility		$1,089.75	$1,089.75	$2,059.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $333.79 / $549.07 / $788.28	Professional		$333.79	$549.07	$788.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $433.59 / $569.34 / $695.02	Professional		$433.59	$569.34	$695.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $280.50 / $441.15 / $890.55	Facility		$280.50	$441.15	$890.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $433.92 / $504.92 / $862.57	Professional		$433.92	$504.92	$862.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $378.68 / $528.17 / $544.00	Facility		$378.68	$528.17	$544.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $299.17 / $645.96 / $933.25	Facility		$299.17	$645.96	$933.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $472.95 / $596.25 / $774.09	Professional		$472.95	$596.25	$774.09
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,830.49 / $3,730.83 / $4,417.60	Facility		$2,830.49	$3,730.83	$4,417.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $496.33 / $632.20 / $833.27	Professional		$496.33	$632.20	$833.27
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 $405.45 / $556.50 / $836.05	Professional		$405.45	$556.50	$836.05