Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $325.29 / $2,747.00 / $15,978.56	Facility		$325.29	$2,747.00	$15,978.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.43 / $265.67 / $978.00	Professional		$208.43	$265.67	$978.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.43 / $514.69 / $664.76	Professional		$295.43	$514.69	$664.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $403.13 / $507.18 / $589.44	Professional		$403.13	$507.18	$589.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $234.59 / $438.85 / $568.61	Facility		$234.59	$438.85	$568.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $332.52 / $400.82 / $747.54	Professional		$332.52	$400.82	$747.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $302.30 / $418.08 / $509.87	Facility		$302.30	$418.08	$509.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $234.59 / $501.50 / $3,743.00	Facility		$234.59	$501.50	$3,743.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $394.76 / $539.55 / $695.52	Professional		$394.76	$539.55	$695.52
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 $427.11 / $571.90 / $716.31	Professional		$427.11	$571.90	$716.31
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,529.00 / $12,113.00	Facility		$1,981.00	$9,529.00	$12,113.00
United Facility/Professional Professional Modifier Low / Median / High Price $355.68 / $558.14 / $796.83	Professional		$355.68	$558.14	$796.83