Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $365.53 / $5,380.00 / $15,341.00	Facility		$365.53	$5,380.00	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.85 / $271.52 / $780.99	Professional		$143.85	$271.52	$780.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,089.75 / $1,089.75 / $2,310.00	Facility		$1,089.75	$1,089.75	$2,310.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.82 / $427.68 / $832.10	Professional		$234.82	$427.68	$832.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $318.60 / $468.10 / $784.11	Professional		$318.60	$468.10	$784.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $230.88 / $395.25 / $704.03	Facility		$230.88	$395.25	$704.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $273.26 / $447.15 / $780.29	Professional		$273.26	$447.15	$780.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $300.64 / $526.62 / $635.16	Facility		$300.64	$526.62	$635.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $232.16 / $437.81 / $822.06	Facility		$232.16	$437.81	$822.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $314.23 / $481.92 / $821.44	Professional		$314.23	$481.92	$821.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,830.49 / $3,876.82 / $4,673.63	Facility		$2,830.49	$3,876.82	$4,673.63
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $316.63 / $522.16 / $867.66	Professional		$316.63	$522.16	$867.66
United Facility/Professional Facility Modifier Low / Median / High Price $385.52 / $5,130.00 / $7,385.00	Facility		$385.52	$5,130.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $410.62 / $586.60 / $1,019.22	Professional		$410.62	$586.60	$1,019.22