Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $2,511.89 / $6,606.93	Facility		$181.97	$2,511.89	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $169.82 / $741.31	Professional		$67.61	$169.82	$741.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $1,949.84	Facility		$851.14	$851.14	$1,949.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $229.09 / $707.95	Professional		$100.00	$229.09	$707.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $302.00 / $776.25	Professional		$128.82	$302.00	$776.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $234.42 / $616.60	Facility		$77.62	$234.42	$616.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $263.03 / $691.83	Professional		$117.49	$263.03	$691.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $489.78 / $575.44	Facility		$288.40	$489.78	$575.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $199.53 / $549.54	Facility		$74.13	$199.53	$549.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $194.98 / $724.44	Professional		$79.43	$194.98	$724.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,884.03 / $3,467.37	Facility		$2,137.96	$2,884.03	$3,467.37
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $295.12 / $724.44	Professional		$138.04	$295.12	$724.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,818.38 / $4,897.79	Facility		$1,096.48	$2,818.38	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $218.78 / $691.83	Professional		$107.15	$218.78	$691.83