Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $268.32 / $2,747.00 / $8,728.00	Facility		$268.32	$2,747.00	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.60 / $195.38 / $626.48	Professional		$107.60	$195.38	$626.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,089.75 / $1,089.75 / $1,937.44	Facility		$1,089.75	$1,089.75	$1,937.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.82 / $319.52 / $666.05	Professional		$174.82	$319.52	$666.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $232.14 / $341.06 / $615.29	Professional		$232.14	$341.06	$615.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $152.15 / $289.85 / $552.45	Facility		$152.15	$289.85	$552.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $197.47 / $323.33 / $613.74	Professional		$197.47	$323.33	$613.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $229.14 / $410.50 / $506.52	Facility		$229.14	$410.50	$506.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $157.87 / $327.66 / $656.73	Facility		$157.87	$327.66	$656.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $227.79 / $358.10 / $650.44	Professional		$227.79	$358.10	$650.44
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 $230.05 / $386.74 / $688.62	Professional		$230.05	$386.74	$688.62
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 $272.45 / $438.19 / $791.13	Professional		$272.45	$438.19	$791.13