Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $640.26 / $4,704.00 / $8,728.00	Facility		$640.26	$4,704.00	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.58 / $336.21 / $1,498.03	Professional		$281.58	$336.21	$1,498.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $374.75 / $635.23 / $858.49	Professional		$374.75	$635.23	$858.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $461.42 / $661.09 / $744.32	Professional		$461.42	$661.09	$744.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $336.21 / $560.29 / $775.65	Facility		$336.21	$560.29	$775.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $425.85 / $493.61 / $925.16	Professional		$425.85	$493.61	$925.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $377.79 / $528.63 / $584.91	Facility		$377.79	$528.63	$584.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $336.21 / $625.67 / $745.69	Facility		$336.21	$625.67	$745.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $493.83 / $673.14 / $858.49	Professional		$493.83	$673.14	$858.49
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 $534.46 / $716.30 / $915.78	Professional		$534.46	$716.30	$915.78
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 $435.60 / $578.90 / $924.53	Professional		$435.60	$578.90	$924.53