Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.67 / $7,920.26 / $20,400.00	Facility		$562.67	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $249.11 / $296.83 / $1,315.37	Professional		$249.11	$296.83	$1,315.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $330.00 / $558.67 / $754.25	Professional		$330.00	$558.67	$754.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $404.00 / $580.34 / $653.40	Professional		$404.00	$580.34	$653.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $296.83 / $494.68 / $678.46	Facility		$296.83	$494.68	$678.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $373.32 / $446.52 / $808.45	Professional		$373.32	$446.52	$808.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $337.12 / $468.39 / $513.89	Facility		$337.12	$468.39	$513.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $296.83 / $543.51 / $654.73	Facility		$296.83	$543.51	$654.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $432.51 / $592.02 / $754.25	Professional		$432.51	$592.02	$754.25
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 $469.27 / $629.32 / $804.58	Professional		$469.27	$629.32	$804.58
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 $376.48 / $530.55 / $811.76	Professional		$376.48	$530.55	$811.76