Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $286.87 / $4,684.68 / $8,728.00	Facility		$286.87	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.90 / $188.67 / $522.47	Professional		$108.90	$188.67	$522.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $201.54 / $332.22 / $587.15	Professional		$201.54	$332.22	$587.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $225.16 / $310.72 / $513.16	Professional		$225.16	$310.72	$513.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $166.04 / $300.70 / $474.76	Facility		$166.04	$300.70	$474.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $210.29 / $335.69 / $468.28	Professional		$210.29	$335.69	$468.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $220.02 / $362.58 / $446.89	Facility		$220.02	$362.58	$446.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $166.04 / $311.79 / $575.79	Facility		$166.04	$311.79	$575.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $240.98 / $355.30 / $558.61	Professional		$240.98	$355.30	$558.61
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,400.90 / $1,985.16 / $2,351.11	Facility		$1,400.90	$1,985.16	$2,351.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $252.49 / $412.69 / $635.77	Professional		$252.49	$412.69	$635.77
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $3,290.00 / $6,216.00	Facility		$376.00	$3,290.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $285.75 / $383.03 / $598.23	Professional		$285.75	$383.03	$598.23