Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $314.02 / $4,684.68 / $8,728.00	Facility		$314.02	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.42 / $595.63 / $1,069.24	Professional		$116.42	$595.63	$1,069.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $226.69 / $554.61 / $1,593.96	Professional		$226.69	$554.61	$1,593.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $267.62 / $393.20 / $1,397.86	Professional		$267.62	$393.20	$1,397.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $192.45 / $533.44 / $1,778.69	Facility		$192.45	$533.44	$1,778.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $295.02 / $899.32 / $1,787.73	Professional		$295.02	$899.32	$1,787.73
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $241.87 / $1,104.93 / $1,344.36	Facility		$241.87	$1,104.93	$1,344.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $192.45 / $951.83 / $1,778.69	Facility		$192.45	$951.83	$1,778.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $272.64 / $826.73 / $1,820.44	Professional		$272.64	$826.73	$1,820.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $275.79 / $490.84 / $1,682.76	Professional		$275.79	$490.84	$1,682.76
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 $1,022.32 / $1,451.38 / $1,889.49	Professional		$1,022.32	$1,451.38	$1,889.49