Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $412.03 / $2,747.00 / $7,920.26	Facility		$412.03	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.88 / $258.39 / $557.42	Professional		$175.88	$258.39	$557.42
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 $241.25 / $390.58 / $575.25	Professional		$241.25	$390.58	$575.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $381.16 / $474.97 / $560.30	Professional		$381.16	$474.97	$560.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $234.89 / $358.98 / $539.50	Facility		$234.89	$358.98	$539.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $303.80 / $365.59 / $571.53	Professional		$303.80	$365.59	$571.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $257.77 / $366.51 / $429.76	Facility		$257.77	$366.51	$429.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $228.54 / $353.97 / $569.78	Facility		$228.54	$353.97	$569.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $339.76 / $424.38 / $574.85	Professional		$339.76	$424.38	$574.85
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 $347.49 / $432.74 / $605.27	Professional		$347.49	$432.74	$605.27
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 $290.92 / $420.91 / $667.52	Professional		$290.92	$420.91	$667.52