Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $182.49 / $4,684.68 / $8,728.00	Facility		$182.49	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.30 / $464.78 / $1,207.04	Professional		$100.30	$464.78	$1,207.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.82 / $352.45 / $1,016.25	Professional		$140.82	$352.45	$1,016.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $150.57 / $221.22 / $911.40	Professional		$150.57	$221.22	$911.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $121.68 / $347.30 / $1,075.83	Facility		$121.68	$347.30	$1,075.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $128.09 / $583.89 / $1,160.69	Professional		$128.09	$583.89	$1,160.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $155.19 / $670.18 / $826.78	Facility		$155.19	$670.18	$826.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $121.68 / $645.55 / $1,075.83	Facility		$121.68	$645.55	$1,075.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $156.16 / $520.04 / $1,145.13	Professional		$156.16	$520.04	$1,145.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,578.09 / $2,071.03 / $2,604.89	Facility		$1,578.09	$2,071.03	$2,604.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $154.08 / $274.22 / $1,070.68	Professional		$154.08	$274.22	$1,070.68
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $2,385.00 / $7,480.00	Facility		$1,106.00	$2,385.00	$7,480.00
United Facility/Professional Professional Modifier Low / Median / High Price $641.69 / $856.80 / $1,202.22	Professional		$641.69	$856.80	$1,202.22