Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $1,348.96 / $6,456.54	Facility		$223.87	$1,348.96	$6,456.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $213.80 / $512.86	Professional		$87.10	$213.80	$512.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $288.40 / $660.69	Professional		$138.04	$288.40	$660.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $251.19 / $575.44	Professional		$154.88	$251.19	$575.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $380.19 / $6,025.60	Facility		$125.89	$380.19	$6,025.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $354.81 / $630.96	Professional		$141.25	$354.81	$630.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $457.09 / $478.63	Facility		$331.13	$457.09	$478.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $245.47 / $549.54	Facility		$102.33	$245.47	$549.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $257.04 / $616.60	Professional		$79.43	$257.04	$616.60
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $4,073.80 / $6,165.95	Facility		$1,737.80	$4,073.80	$6,165.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $338.84 / $616.60	Professional		$190.55	$338.84	$616.60
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,495.41 / $7,413.10	Facility		$1,698.24	$5,495.41	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $295.12 / $630.96	Professional		$154.88	$295.12	$630.96