Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $330.33 / $3,213.00 / $8,728.00	Facility		$330.33	$3,213.00	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.85 / $211.06 / $398.12	Professional		$124.85	$211.06	$398.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $228.44 / $383.84 / $623.89	Professional		$228.44	$383.84	$623.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $241.64 / $361.61 / $538.40	Professional		$241.64	$361.61	$538.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $191.25 / $315.39 / $513.80	Facility		$191.25	$315.39	$513.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $241.25 / $367.74 / $479.67	Professional		$241.25	$367.74	$479.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $218.88 / $346.62 / $462.97	Facility		$218.88	$346.62	$462.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $181.91 / $334.22 / $592.09	Facility		$181.91	$334.22	$592.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $274.68 / $401.10 / $578.71	Professional		$274.68	$401.10	$578.71
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 $287.45 / $446.71 / $653.78	Professional		$287.45	$446.71	$653.78
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 $301.33 / $425.75 / $677.02	Professional		$301.33	$425.75	$677.02