Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $290.44 / $4,283.46 / $8,728.00	Facility		$290.44	$4,283.46	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.65 / $211.61 / $575.46	Professional		$128.65	$211.61	$575.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $280.69 / $280.69 / $1,937.44	Facility		$280.69	$280.69	$1,937.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $187.04 / $339.50 / $621.12	Professional		$187.04	$339.50	$621.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $247.97 / $364.33 / $562.03	Professional		$247.97	$364.33	$562.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $175.77 / $324.00 / $539.75	Facility		$175.77	$324.00	$539.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $209.22 / $339.66 / $550.70	Professional		$209.22	$339.66	$550.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $245.05 / $410.04 / $464.31	Facility		$245.05	$410.04	$464.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $176.74 / $332.58 / $597.24	Facility		$176.74	$332.58	$597.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $247.68 / $379.14 / $604.82	Professional		$247.68	$379.14	$604.82
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,382.73 / $9,721.75 / $12,052.68	Facility		$7,382.73	$9,721.75	$12,052.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $248.27 / $398.24 / $630.26	Professional		$248.27	$398.24	$630.26
United Facility/Professional Facility Modifier Low / Median / High Price $1,472.00 / $4,880.00 / $7,233.00	Facility		$1,472.00	$4,880.00	$7,233.00
United Facility/Professional Professional Modifier Low / Median / High Price $314.16 / $440.29 / $721.04	Professional		$314.16	$440.29	$721.04