Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $252.96 / $3,925.18 / $7,920.26	Facility		$252.96	$3,925.18	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.66 / $205.66 / $723.20	Professional		$133.66	$205.66	$723.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.51 / $350.58 / $482.35	Professional		$182.51	$350.58	$482.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $282.94 / $355.12 / $429.16	Professional		$282.94	$355.12	$429.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $169.72 / $282.83 / $372.09	Facility		$169.72	$282.83	$372.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $207.57 / $282.33 / $527.52	Professional		$207.57	$282.33	$527.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $183.31 / $280.70 / $359.79	Facility		$183.31	$280.70	$359.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $169.72 / $306.00 / $2,327.00	Facility		$169.72	$306.00	$2,327.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $241.90 / $369.35 / $479.80	Professional		$241.90	$369.35	$479.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,041.14 / $9,224.37 / $11,703.59	Facility		$7,041.14	$9,224.37	$11,703.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $276.64 / $382.25 / $505.97	Professional		$276.64	$382.25	$505.97
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 $234.16 / $360.84 / $568.13	Professional		$234.16	$360.84	$568.13