Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.86 / $2,305.19 / $8,728.00	Facility		$174.86	$2,305.19	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.31 / $145.65 / $417.82	Professional		$80.31	$145.65	$417.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $866.68 / $866.68 / $1,937.44	Facility		$866.68	$866.68	$1,937.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.20 / $216.82 / $504.23	Professional		$122.20	$216.82	$504.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $151.50 / $220.57 / $462.58	Professional		$151.50	$220.57	$462.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $115.29 / $218.44 / $430.40	Facility		$115.29	$218.44	$430.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $135.13 / $252.49 / $452.85	Professional		$135.13	$252.49	$452.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $156.11 / $325.47 / $390.65	Facility		$156.11	$325.47	$390.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $120.01 / $258.02 / $525.29	Facility		$120.01	$258.02	$525.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $151.04 / $246.62 / $486.97	Professional		$151.04	$246.62	$486.97
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 $152.79 / $293.44 / $513.13	Professional		$152.79	$293.44	$513.13
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 $243.50 / $379.43 / $584.29	Professional		$243.50	$379.43	$584.29