Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $656.18 / $7,920.26 / $20,400.00	Facility		$656.18	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $293.39 / $424.11 / $944.28	Professional		$293.39	$424.11	$944.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $415.75 / $646.85 / $878.16	Professional		$415.75	$646.85	$878.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $479.65 / $685.14 / $771.40	Professional		$479.65	$685.14	$771.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $424.11 / $632.92 / $911.84	Facility		$424.11	$632.92	$911.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $479.82 / $543.40 / $953.82	Professional		$479.82	$543.40	$953.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $419.58 / $568.83 / $598.30	Facility		$419.58	$568.83	$598.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $424.11 / $722.10 / $5,626.00	Facility		$424.11	$722.10	$5,626.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $527.12 / $686.42 / $878.16	Professional		$527.12	$686.42	$878.16
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,386.92 / $10,378.18 / $13,050.49	Facility		$8,386.92	$10,378.18	$13,050.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $543.07 / $732.71 / $936.76	Professional		$543.07	$732.71	$936.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00
United Facility/Professional Professional Modifier Low / Median / High Price $457.91 / $638.03 / $939.41	Professional		$457.91	$638.03	$939.41