Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $236.79 / $2,747.00 / $7,920.26	Facility		$236.79	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.77 / $237.91 / $428.99	Professional		$147.77	$237.91	$428.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $842.00	Facility		$842.00	$842.00	$842.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.04 / $342.03 / $589.41	Professional		$199.04	$342.03	$589.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $199.70 / $248.80 / $414.18	Professional		$199.70	$248.80	$414.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $200.16 / $388.97 / $591.05	Facility		$200.16	$388.97	$591.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $167.04 / $298.01 / $492.66	Professional		$167.04	$298.01	$492.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $279.76 / $343.71 / $540.02	Facility		$279.76	$343.71	$540.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $215.41 / $399.95 / $591.05	Facility		$215.41	$399.95	$591.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $184.54 / $332.32 / $557.03	Professional		$184.54	$332.32	$557.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,868.81 / $4,855.54 / $6,069.32	Facility		$3,868.81	$4,855.54	$6,069.32
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $184.51 / $328.38 / $538.14	Professional		$184.51	$328.38	$538.14
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $377.44 / $531.96 / $717.33	Professional		$377.44	$531.96	$717.33