Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $270.41 / $4,684.68 / $8,728.00	Facility		$270.41	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.90 / $172.43 / $483.39	Professional		$96.90	$172.43	$483.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.15 / $319.18 / $537.10	Professional		$183.15	$319.18	$537.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $203.29 / $296.01 / $462.24	Professional		$203.29	$296.01	$462.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $156.66 / $267.82 / $442.13	Facility		$156.66	$267.82	$442.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $196.94 / $313.31 / $413.04	Professional		$196.94	$313.31	$413.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $192.44 / $275.81 / $387.13	Facility		$192.44	$275.81	$387.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $155.60 / $281.88 / $509.71	Facility		$155.60	$281.88	$509.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $221.96 / $330.83 / $498.31	Professional		$221.96	$330.83	$498.31
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,719.37 / $2,217.60 / $2,786.49	Facility		$1,719.37	$2,217.60	$2,786.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $235.65 / $365.33 / $562.80	Professional		$235.65	$365.33	$562.80
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 $259.45 / $364.64 / $579.84	Professional		$259.45	$364.64	$579.84