Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $216.13 / $4,283.46 / $8,728.00	Facility		$216.13	$4,283.46	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.59 / $216.13 / $556.58	Professional		$96.59	$216.13	$556.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $241.14 / $241.14 / $1,664.70	Facility		$241.14	$241.14	$1,664.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.56 / $272.22 / $574.54	Professional		$148.56	$272.22	$574.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $183.87 / $270.14 / $524.04	Professional		$183.87	$270.14	$524.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $141.83 / $243.86 / $521.04	Facility		$141.83	$243.86	$521.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $165.87 / $320.42 / $558.95	Professional		$165.87	$320.42	$558.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $192.96 / $393.08 / $424.78	Facility		$192.96	$393.08	$424.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $146.33 / $314.61 / $549.17	Facility		$146.33	$314.61	$549.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $186.88 / $303.12 / $563.20	Professional		$186.88	$303.12	$563.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,215.19 / $2,955.33 / $3,590.10	Facility		$2,215.19	$2,955.33	$3,590.10
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $186.02 / $356.85 / $583.07	Professional		$186.02	$356.85	$583.07
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 $303.99 / $425.59 / $674.57	Professional		$303.99	$425.59	$674.57