Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.77 / $4,684.68 / $8,728.00	Facility		$380.77	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.40 / $243.89 / $557.79	Professional		$173.40	$243.89	$557.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.79 / $432.50 / $612.35	Professional		$263.79	$432.50	$612.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $339.67 / $430.75 / $551.22	Professional		$339.67	$430.75	$551.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $242.38 / $406.44 / $541.35	Facility		$242.38	$406.44	$541.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $281.27 / $365.64 / $620.65	Professional		$281.27	$365.64	$620.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $264.00 / $400.40 / $450.24	Facility		$264.00	$400.40	$450.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $243.89 / $464.52 / $1,738.00	Facility		$243.89	$464.52	$1,738.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $321.30 / $438.16 / $610.51	Professional		$321.30	$438.16	$610.51
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,573.85 / $5,897.44 / $7,048.47	Facility		$4,573.85	$5,897.44	$7,048.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $330.17 / $444.10 / $629.14	Professional		$330.17	$444.10	$629.14
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $337.97 / $519.47 / $737.04	Professional		$337.97	$519.47	$737.04