Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $602.56 / $13,803.84	Facility		$478.63	$602.56	$13,803.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $295.12 / $588.84	Professional		$239.88	$295.12	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $512.86 / $724.44	Professional		$257.04	$512.86	$724.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $446.68 / $588.84	Professional		$338.84	$446.68	$588.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $407.38 / $812.83	Facility		$288.40	$407.38	$812.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $426.58 / $616.60	Professional		$346.74	$426.58	$616.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $457.09 / $467.74	Facility		$389.05	$457.09	$467.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $354.81 / $588.84	Facility		$251.19	$354.81	$588.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $457.09 / $645.65	Professional		$79.43	$457.09	$645.65
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $11,481.54 / $13,182.57	Facility		$8,511.38	$11,481.54	$13,182.57
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $501.19 / $645.65	Professional		$436.52	$501.19	$645.65
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $10,232.93 / $15,135.61	Facility		$1,995.26	$10,232.93	$15,135.61
United Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $467.74 / $660.69	Professional		$309.03	$467.74	$660.69