Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.79 / $2,747.00 / $7,920.26	Facility		$138.79	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.90 / $92.60 / $362.30	Professional		$65.90	$92.60	$362.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.60 / $143.27 / $197.66	Professional		$90.60	$143.27	$197.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $108.19 / $152.88 / $174.04	Professional		$108.19	$152.88	$174.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $136.16 / $213.81	Facility		$92.60	$136.16	$213.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $107.28 / $139.59 / $213.27	Professional		$107.28	$139.59	$213.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $95.45 / $127.92 / $142.71	Facility		$95.45	$127.92	$142.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $154.32 / $199.09	Facility		$92.60	$154.32	$199.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $117.25 / $156.78 / $206.53	Professional		$117.25	$156.78	$206.53
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $328.30 / $328.30 / $328.30	Facility		$328.30	$328.30	$328.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $123.62 / $162.63 / $214.23	Professional		$123.62	$162.63	$214.23
United Facility/Professional Facility Modifier Low / Median / High Price $2,364.00 / $7,664.00 / $36,803.00	Facility		$2,364.00	$7,664.00	$36,803.00
United Facility/Professional Professional Modifier Low / Median / High Price $100.47 / $132.00 / $211.84	Professional		$100.47	$132.00	$211.84