Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $195.22 / $4,684.68 / $8,728.00	Facility		$195.22	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.86 / $97.22 / $277.02	Professional		$65.86	$97.22	$277.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.70 / $179.75 / $269.39	Professional		$118.70	$179.75	$269.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.76 / $184.19 / $224.42	Professional		$141.76	$184.19	$224.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $105.42 / $136.16 / $260.08	Facility		$105.42	$136.16	$260.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $137.46 / $166.99 / $285.39	Professional		$137.46	$166.99	$285.39
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $125.00 / $172.86 / $195.16	Facility		$125.00	$172.86	$195.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $107.87 / $162.75 / $2,522.10	Facility		$107.87	$162.75	$2,522.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $152.41 / $185.60 / $260.83	Professional		$152.41	$185.60	$260.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $172.21 / $214.25 / $305.26	Professional		$172.21	$214.25	$305.26
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 $126.90 / $188.90 / $295.62	Professional		$126.90	$188.90	$295.62