Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $6,629.40 / $8,728.00	Facility		$2,747.00	$6,629.40	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $233.81 / $322.64 / $409.81	Professional		$233.81	$322.64	$409.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $325.55 / $325.55 / $390.05	Professional		$325.55	$325.55	$390.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $178.00 / $250.48 / $623.54	Professional		$178.00	$250.48	$623.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $65.54 / $322.64 / $593.67	Facility		$65.54	$322.64	$593.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $58.58 / $58.58 / $58.58	Professional		$58.58	$58.58	$58.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $38.04 / $47.55 / $559.45	Facility		$38.04	$47.55	$559.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $51.50 / $322.64 / $610.29	Facility		$51.50	$322.64	$610.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $85.14 / $99.26 / $553.75	Professional		$85.14	$99.26	$553.75
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $453.78 / $620.46 / $794.00	Professional		$453.78	$620.46	$794.00
United Facility/Professional Facility Modifier Low / Median / High Price $177.00 / $1,078.00 / $5,183.00	Facility		$177.00	$1,078.00	$5,183.00
United Facility/Professional Professional Modifier Low / Median / High Price $427.89 / $601.14 / $901.61	Professional		$427.89	$601.14	$901.61