Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $505.60 / $5,116.62 / $7,920.26	Facility		$505.60	$5,116.62	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $237.84 / $498.13 / $1,643.78	Professional		$237.84	$498.13	$1,643.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $352.66 / $635.94 / $962.50	Professional		$352.66	$635.94	$962.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $448.92 / $608.07 / $815.72	Professional		$448.92	$608.07	$815.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $326.68 / $551.95 / $959.85	Facility		$326.68	$551.95	$959.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $373.07 / $578.34 / $991.17	Professional		$373.07	$578.34	$991.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $414.86 / $655.25 / $760.38	Facility		$414.86	$655.25	$760.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $326.68 / $702.36 / $1,162.54	Facility		$326.68	$702.36	$1,162.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $431.57 / $640.64 / $926.56	Professional		$431.57	$640.64	$926.56
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 $440.23 / $644.29 / $948.45	Professional		$440.23	$644.29	$948.45
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 $567.59 / $845.04 / $1,111.10	Professional		$567.59	$845.04	$1,111.10