Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $781.75 / $4,962.67 / $15,341.00	Facility		$781.75	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $306.06 / $422.24 / $910.04	Professional		$306.06	$422.24	$910.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $604.00 / $604.00 / $604.00	Facility		$604.00	$604.00	$604.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $373.12 / $612.09 / $1,018.69	Professional		$373.12	$612.09	$1,018.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $392.94 / $772.38 / $903.32	Professional		$392.94	$772.38	$903.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $379.75 / $610.34 / $979.28	Facility		$379.75	$610.34	$979.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $552.84 / $638.00 / $1,059.30	Professional		$552.84	$638.00	$1,059.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $475.17 / $717.29 / $775.86	Facility		$475.17	$717.29	$775.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $419.11 / $700.07 / $1,312.23	Facility		$419.11	$700.07	$1,312.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $558.45 / $733.59 / $983.25	Professional		$558.45	$733.59	$983.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,428.83 / $1,813.69 / $2,182.61	Facility		$1,428.83	$1,813.69	$2,182.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $640.86 / $744.51 / $1,021.79	Professional		$640.86	$744.51	$1,021.79
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $2,385.00 / $7,480.00	Facility		$1,106.00	$2,385.00	$7,480.00
United Facility/Professional Professional Modifier Low / Median / High Price $504.97 / $718.90 / $1,041.29	Professional		$504.97	$718.90	$1,041.29