Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.85 / $4,684.68 / $8,728.00	Facility		$100.85	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.00 / $65.34 / $225.03	Professional		$44.00	$65.34	$225.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.31 / $115.96 / $189.31	Professional		$72.31	$115.96	$189.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $72.50 / $107.11 / $164.62	Professional		$72.50	$107.11	$164.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $60.05 / $99.93 / $156.78	Facility		$60.05	$99.93	$156.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $74.23 / $112.08 / $148.28	Professional		$74.23	$112.08	$148.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $79.19 / $121.44 / $141.37	Facility		$79.19	$121.44	$141.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $58.60 / $100.10 / $179.34	Facility		$58.60	$100.10	$179.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $84.76 / $123.80 / $176.71	Professional		$84.76	$123.80	$176.71
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $492.49 / $584.72 / $749.46	Facility		$492.49	$584.72	$749.46
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $87.40 / $131.68 / $198.03	Professional		$87.40	$131.68	$198.03
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $4,113.00 / $6,216.00	Facility		$376.00	$4,113.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $88.88 / $128.06 / $203.63	Professional		$88.88	$128.06	$203.63