Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.05 / $4,962.67 / $15,341.00	Facility		$150.05	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.67 / $111.87 / $350.98	Professional		$57.67	$111.87	$350.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.86 / $195.18 / $348.07	Professional		$107.86	$195.18	$348.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.97 / $160.32 / $296.08	Professional		$120.97	$160.32	$296.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $87.43 / $170.98 / $308.88	Facility		$87.43	$170.98	$308.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $109.94 / $209.51 / $289.61	Professional		$109.94	$209.51	$289.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $125.58 / $232.83 / $266.56	Facility		$125.58	$232.83	$266.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $87.43 / $194.20 / $417.53	Facility		$87.43	$194.20	$417.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $128.69 / $202.92 / $327.52	Professional		$128.69	$202.92	$327.52
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $132.07 / $235.05 / $369.53	Professional		$132.07	$235.05	$369.53
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 $181.42 / $251.10 / $411.06	Professional		$181.42	$251.10	$411.06