Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.37 / $1,618.80 / $7,920.26	Facility		$128.37	$1,618.80	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.27 / $164.86 / $941.00	Professional		$53.27	$164.86	$941.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.35 / $331.73 / $1,138.76	Professional		$93.35	$331.73	$1,138.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $99.37 / $375.40 / $992.48	Professional		$99.37	$375.40	$992.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $69.22 / $416.06 / $918.69	Facility		$69.22	$416.06	$918.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $84.33 / $463.59 / $1,200.39	Professional		$84.33	$463.59	$1,200.39
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $105.19 / $635.25 / $818.74	Facility		$105.19	$635.25	$818.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $69.22 / $589.09 / $1,080.34	Facility		$69.22	$589.09	$1,080.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $101.40 / $463.02 / $1,136.00	Professional		$101.40	$463.02	$1,136.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,568.64 / $2,136.85 / $2,599.42	Facility		$1,568.64	$2,136.85	$2,599.42
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $2,352.96 / $3,205.28 / $3,899.15	Facility	50	$2,352.96	$3,205.28	$3,899.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $100.99 / $179.74 / $1,192.90	Professional		$100.99	$179.74	$1,192.90
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $2,983.00 / $4,911.00	Facility		$1,106.00	$2,983.00	$4,911.00
United Facility/Professional Professional Modifier Low / Median / High Price $532.87 / $789.46 / $1,397.49	Professional		$532.87	$789.46	$1,397.49