Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $599.82 / $4,704.00 / $8,728.00	Facility		$599.82	$4,704.00	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $215.13 / $388.46 / $860.90	Professional		$215.13	$388.46	$860.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,664.70 / $1,664.70 / $2,406.86	Facility		$1,664.70	$1,664.70	$2,406.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $287.70 / $510.87 / $739.50	Professional		$287.70	$510.87	$739.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $441.45 / $579.12 / $726.69	Professional		$441.45	$579.12	$726.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $279.89 / $439.19 / $697.06	Facility		$279.89	$439.19	$697.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $334.56 / $459.00 / $809.31	Professional		$334.56	$459.00	$809.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $307.52 / $467.40 / $550.74	Facility		$307.52	$467.40	$550.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $289.60 / $470.03 / $702.78	Facility		$289.60	$470.03	$702.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $403.92 / $588.35 / $754.84	Professional		$403.92	$588.35	$754.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,607.31 / $8,780.14 / $10,511.02	Facility		$6,607.31	$8,780.14	$10,511.02
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $500.08 / $640.44 / $776.00	Professional		$500.08	$640.44	$776.00
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 $358.44 / $512.55 / $863.24	Professional		$358.44	$512.55	$863.24