Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $421.94 / $4,704.00 / $8,728.00	Facility		$421.94	$4,704.00	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.68 / $290.42 / $713.36	Professional		$160.68	$290.42	$713.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $451.00 / $451.00 / $451.00	Facility		$451.00	$451.00	$451.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.54 / $325.77 / $511.19	Professional		$195.54	$325.77	$511.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $194.25 / $404.96 / $449.95	Professional		$194.25	$404.96	$449.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $201.03 / $329.61 / $572.95	Facility		$201.03	$329.61	$572.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $306.36 / $324.92 / $571.35	Professional		$306.36	$324.92	$571.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $266.95 / $365.15 / $394.63	Facility		$266.95	$365.15	$394.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $236.51 / $441.65 / $3,023.00	Facility		$236.51	$441.65	$3,023.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $296.56 / $365.30 / $501.44	Professional		$296.56	$365.30	$501.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,813.93 / $11,944.47 / $14,473.89	Facility		$8,813.93	$11,944.47	$14,473.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $345.65 / $373.81 / $522.66	Professional		$345.65	$373.81	$522.66
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00
United Facility/Professional Professional Modifier Low / Median / High Price $236.93 / $354.25 / $496.93	Professional		$236.93	$354.25	$496.93