Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.08 / $1,462.43 / $8,728.00	Facility		$143.08	$1,462.43	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.64 / $215.87 / $584.22	Professional		$75.64	$215.87	$584.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.71 / $842.71 / $1,937.44	Facility		$842.71	$842.71	$1,937.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.16 / $229.16 / $584.90	Professional		$111.16	$229.16	$584.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $137.58 / $200.70 / $535.48	Professional		$137.58	$200.70	$535.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $108.10 / $255.96 / $604.40	Facility		$108.10	$255.96	$604.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $122.83 / $314.36 / $521.58	Professional		$122.83	$314.36	$521.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $194.30 / $388.33 / $496.49	Facility		$194.30	$388.33	$496.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $108.10 / $340.52 / $722.89	Facility		$108.10	$340.52	$722.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $138.24 / $278.81 / $565.50	Professional		$138.24	$278.81	$565.50
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,153.07 / $2,975.12 / $3,619.70	Facility		$2,153.07	$2,975.12	$3,619.70
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $139.84 / $360.78 / $591.37	Professional		$139.84	$360.78	$591.37
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 $302.63 / $476.10 / $673.41	Professional		$302.63	$476.10	$673.41