Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $349.89 / $4,684.68 / $8,728.00	Facility		$349.89	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.14 / $178.28 / $499.27	Professional		$116.14	$178.28	$499.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.30 / $317.69 / $487.33	Professional		$213.30	$317.69	$487.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $253.50 / $327.81 / $400.78	Professional		$253.50	$327.81	$400.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $186.90 / $251.47 / $460.02	Facility		$186.90	$251.47	$460.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $261.52 / $299.39 / $519.88	Professional		$261.52	$299.39	$519.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $218.13 / $316.20 / $355.10	Facility		$218.13	$316.20	$355.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $195.13 / $300.73 / $2,522.10	Facility		$195.13	$300.73	$2,522.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $276.37 / $337.92 / $478.03	Professional		$276.37	$337.92	$478.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $298.91 / $374.62 / $555.97	Professional		$298.91	$374.62	$555.97
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 $243.94 / $332.17 / $536.45	Professional		$243.94	$332.17	$536.45