Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.81 / $4,684.68 / $8,728.00	Facility		$346.81	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.22 / $217.78 / $906.26	Professional		$109.22	$217.78	$906.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.12 / $306.25 / $467.13	Professional		$167.12	$306.25	$467.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $268.95 / $352.09 / $419.33	Professional		$268.95	$352.09	$419.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $169.39 / $244.02 / $447.37	Facility		$169.39	$244.02	$447.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $183.86 / $285.94 / $484.23	Professional		$183.86	$285.94	$484.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $198.19 / $318.26 / $361.80	Facility		$198.19	$318.26	$361.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $172.59 / $246.50 / $447.37	Facility		$172.59	$246.50	$447.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $215.46 / $355.72 / $453.76	Professional		$215.46	$355.72	$453.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,093.73 / $1,459.75 / $1,719.25	Facility		$1,093.73	$1,459.75	$1,719.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $300.64 / $371.25 / $473.75	Professional		$300.64	$371.25	$473.75
United Facility/Professional Facility Modifier Low / Median / High Price $209.22 / $4,113.00 / $6,216.00	Facility		$209.22	$4,113.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $177.92 / $313.20 / $527.01	Professional		$177.92	$313.20	$527.01