Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $475.63 / $3,925.18 / $9,375.66	Facility		$475.63	$3,925.18	$9,375.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.79 / $308.81 / $803.48	Professional		$203.79	$308.81	$803.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $305.77 / $504.42 / $720.39	Professional		$305.77	$504.42	$720.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $385.61 / $488.87 / $621.16	Professional		$385.61	$488.87	$621.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $283.99 / $477.09 / $631.35	Facility		$283.99	$477.09	$631.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $323.43 / $431.52 / $706.71	Professional		$323.43	$431.52	$706.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $308.70 / $478.14 / $519.52	Facility		$308.70	$478.14	$519.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $283.99 / $534.07 / $2,327.00	Facility		$283.99	$534.07	$2,327.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $374.22 / $511.88 / $704.72	Professional		$374.22	$511.88	$704.72
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,993.29 / $6,338.31 / $7,624.85	Facility		$4,993.29	$6,338.31	$7,624.85
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $384.56 / $517.12 / $725.79	Professional		$384.56	$517.12	$725.79
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,113.00	Facility		$1,981.00	$9,074.00	$12,113.00
United Facility/Professional Professional Modifier Low / Median / High Price $389.90 / $554.04 / $814.96	Professional		$389.90	$554.04	$814.96