Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $4,786.30 / $9,549.93	Facility		$162.18	$4,786.30	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $173.78 / $478.63	Professional		$72.44	$173.78	$478.63
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $107.15 / $309.03 / $1,584.89	Professional	50	$107.15	$309.03	$1,584.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $218.78 / $478.63	Professional		$107.15	$218.78	$478.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $190.55 / $436.52	Professional		$117.49	$190.55	$436.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $371.54 / $9,549.93	Facility		$107.15	$371.54	$9,549.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $245.47 / $457.09	Professional		$102.33	$245.47	$457.09
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $107.15 / $309.03 / $1,584.89	Professional	50	$107.15	$309.03	$1,584.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $346.74 / $354.81	Facility		$218.78	$346.74	$354.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $173.78 / $416.87	Facility		$77.62	$173.78	$416.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $204.17 / $457.09	Professional		$79.43	$204.17	$457.09
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $8,912.51 / $10,715.19	Facility		$5,370.32	$8,912.51	$10,715.19
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $257.04 / $446.68	Professional		$144.54	$257.04	$446.68
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,754.40 / $12,589.25	Facility		$1,698.24	$5,754.40	$12,589.25
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $218.78 / $446.68	Professional		$117.49	$218.78	$446.68