Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.44 / $4,684.68 / $8,728.00	Facility		$162.44	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.98 / $178.32 / $746.00	Professional		$96.98	$178.32	$746.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $267.48 / $1,119.00 / $1,174.50	Professional	50	$267.48	$1,119.00	$1,174.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.28 / $233.14 / $537.15	Professional		$128.28	$233.14	$537.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $137.81 / $202.48 / $484.98	Professional		$137.81	$202.48	$484.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $98.31 / $280.45 / $467.37	Facility		$98.31	$280.45	$467.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $126.23 / $277.20 / $588.41	Professional		$126.23	$277.20	$588.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $170.00 / $326.85 / $401.33	Facility		$170.00	$326.85	$401.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $98.31 / $280.45 / $513.14	Facility		$98.31	$280.45	$513.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $142.72 / $240.68 / $550.16	Professional		$142.72	$240.68	$550.16
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $900.57 / $1,208.00 / $1,492.71	Facility		$900.57	$1,208.00	$1,492.71
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $1,350.86 / $1,812.00 / $2,239.07	Facility	50	$1,350.86	$1,812.00	$2,239.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $144.37 / $256.94 / $566.61	Professional		$144.37	$256.94	$566.61
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 $290.68 / $374.53 / $630.30	Professional		$290.68	$374.53	$630.30