Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $576.13 / $4,684.68 / $8,728.00	Facility		$576.13	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $241.64 / $358.96 / $698.97	Professional		$241.64	$358.96	$698.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $550.00 / $550.00	Facility		$550.00	$550.00	$550.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $312.32 / $533.66 / $775.77	Professional		$312.32	$533.66	$775.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $472.25 / $562.13 / $663.63	Professional		$472.25	$562.13	$663.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $353.40 / $543.91 / $992.13	Facility		$353.40	$543.91	$992.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $413.64 / $476.41 / $822.26	Professional		$413.64	$476.41	$822.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $374.03 / $505.88 / $635.16	Facility		$374.03	$505.88	$635.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $353.40 / $611.08 / $1,456.65	Facility		$353.40	$611.08	$1,456.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $471.82 / $545.55 / $759.10	Professional		$471.82	$545.55	$759.10
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,868.81 / $4,855.54 / $6,069.32	Facility		$3,868.81	$4,855.54	$6,069.32
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $472.96 / $602.90 / $802.49	Professional		$472.96	$602.90	$802.49
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $397.81 / $566.87 / $818.13	Professional		$397.81	$566.87	$818.13