Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $244.28 / $352.08 / $7,920.26	Facility		$244.28	$352.08	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.32 / $155.10 / $394.87	Professional		$92.32	$155.10	$394.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.12 / $265.12 / $426.50	Professional		$167.12	$265.12	$426.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $177.77 / $259.11 / $376.89	Professional		$177.77	$259.11	$376.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $142.55 / $221.69 / $377.65	Facility		$142.55	$221.69	$377.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $185.32 / $259.92 / $357.55	Professional		$185.32	$259.92	$357.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $164.37 / $266.76 / $322.27	Facility		$164.37	$266.76	$322.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $142.55 / $221.79 / $409.31	Facility		$142.55	$221.79	$409.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $205.44 / $289.14 / $402.84	Professional		$205.44	$289.14	$402.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $966.59 / $1,714.91 / $2,351.11	Facility		$966.59	$1,714.91	$2,351.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $215.58 / $308.81 / $451.96	Professional		$215.58	$308.81	$451.96
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 $204.81 / $299.64 / $502.75	Professional		$204.81	$299.64	$502.75