Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $6,629.40 / $8,728.00	Facility		$2,747.00	$6,629.40	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.14 / $59.03 / $84.58	Professional		$50.14	$59.03	$84.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,131.80 / $1,131.80 / $1,937.44	Facility		$1,131.80	$1,131.80	$1,937.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.89 / $113.53 / $167.15	Professional		$64.89	$113.53	$167.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $98.73 / $118.74 / $143.66	Professional		$98.73	$118.74	$143.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $75.13 / $98.74 / $140.94	Facility		$75.13	$98.74	$140.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $26.34 / $116.26 / $1,967.04	Professional		$26.34	$116.26	$1,967.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $72.89 / $106.70 / $111.22	Facility		$72.89	$106.70	$111.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $70.53 / $105.12 / $155.01	Facility		$70.53	$105.12	$155.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $75.05 / $121.45 / $184.04	Professional		$75.05	$121.45	$184.04
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,539.74 / $4,743.41 / $5,709.03	Facility		$3,539.74	$4,743.41	$5,709.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $102.10 / $129.56 / $162.74	Professional		$102.10	$129.56	$162.74
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 $81.09 / $116.92 / $176.60	Professional		$81.09	$116.92	$176.60