Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $6,629.40 / $8,728.00	Facility		$2,747.00	$6,629.40	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.89 / $28.19 / $36.04	Professional		$22.89	$28.19	$36.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.49 / $100.98 / $136.13	Professional		$45.49	$100.98	$136.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $103.08 / $119.47 / $132.69	Professional		$103.08	$119.47	$132.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $28.19 / $43.96 / $60.61	Facility		$28.19	$43.96	$60.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $31.51 / $50.81 / $55.52	Facility		$31.51	$50.81	$55.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.19 / $46.98 / $83.01	Facility		$28.19	$46.98	$83.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $45.49 / $70.95 / $128.83	Professional		$45.49	$70.95	$128.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $598.00 / $845.20 / $1,122.79	Facility		$598.00	$845.20	$1,122.79
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $63.35 / $97.59 / $136.21	Professional		$63.35	$97.59	$136.21
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $3,290.00 / $6,216.00	Facility		$376.00	$3,290.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $33.92 / $48.65 / $114.32	Professional		$33.92	$48.65	$114.32