Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $242.66 / $4,962.67 / $15,341.00	Facility		$242.66	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.15 / $165.83 / $550.89	Professional		$106.15	$165.83	$550.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $213.71 / $213.71 / $2,310.00	Facility		$213.71	$213.71	$2,310.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.16 / $265.89 / $435.25	Professional		$147.16	$265.89	$435.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $209.93 / $291.58 / $393.02	Professional		$209.93	$291.58	$393.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $146.97 / $252.31 / $402.90	Facility		$146.97	$252.31	$402.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $177.19 / $255.65 / $387.35	Professional		$177.19	$255.65	$387.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $178.05 / $293.89 / $325.62	Facility		$178.05	$293.89	$325.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $146.97 / $253.64 / $423.88	Facility		$146.97	$253.64	$423.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $200.34 / $292.99 / $424.56	Professional		$200.34	$292.99	$424.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $555.45 / $744.03 / $967.39	Facility		$555.45	$744.03	$967.39
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $203.28 / $299.52 / $440.54	Professional		$203.28	$299.52	$440.54
United Facility/Professional Facility Modifier Low / Median / High Price $177.00 / $1,078.00 / $5,183.00	Facility		$177.00	$1,078.00	$5,183.00
United Facility/Professional Professional Modifier Low / Median / High Price $228.99 / $331.58 / $513.29	Professional		$228.99	$331.58	$513.29