Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $299.43 / $2,747.00 / $7,920.26	Facility		$299.43	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.41 / $190.57 / $458.95	Professional		$125.41	$190.57	$458.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $550.00 / $550.00	Facility		$550.00	$550.00	$550.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.88 / $309.75 / $468.41	Professional		$186.88	$309.75	$468.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $276.85 / $334.84 / $424.77	Professional		$276.85	$334.84	$424.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $181.04 / $275.10 / $409.73	Facility		$181.04	$275.10	$409.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $219.82 / $287.25 / $424.40	Professional		$219.82	$287.25	$424.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $223.61 / $323.95 / $351.75	Facility		$223.61	$323.95	$351.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $181.29 / $281.83 / $550.00	Facility		$181.29	$281.83	$550.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $246.33 / $331.00 / $460.23	Professional		$246.33	$331.00	$460.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,820.30 / $4,901.89 / $6,016.60	Facility		$3,820.30	$4,901.89	$6,016.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $247.24 / $344.98 / $491.93	Professional		$247.24	$344.98	$491.93
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 $246.96 / $357.84 / $548.03	Professional		$246.96	$357.84	$548.03