Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $468.19 / $2,747.00 / $7,920.26	Facility		$468.19	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.36 / $280.37 / $611.58	Professional		$193.36	$280.37	$611.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.00 / $78.00 / $78.00	Facility		$78.00	$78.00	$78.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $250.39 / $448.01 / $672.50	Professional		$250.39	$448.01	$672.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $460.54 / $545.16 / $623.79	Professional		$460.54	$545.16	$623.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $245.05 / $397.13 / $563.54	Facility		$245.05	$397.13	$563.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $350.40 / $406.72 / $618.01	Professional		$350.40	$406.72	$618.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $274.68 / $426.41 / $491.78	Facility		$274.68	$426.41	$491.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $245.05 / $382.32 / $616.12	Facility		$245.05	$382.32	$616.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $384.68 / $472.50 / $646.71	Professional		$384.68	$472.50	$646.71
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $564.70 / $724.26 / $933.97	Facility		$564.70	$724.26	$933.97
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $417.28 / $548.04 / $724.74	Professional		$417.28	$548.04	$724.74
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 $319.58 / $462.00 / $711.74	Professional		$319.58	$462.00	$711.74