Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $189.64 / $4,684.68 / $8,728.00	Facility		$189.64	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.08 / $146.38 / $516.00	Professional		$94.08	$146.38	$516.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.41 / $220.18 / $452.70	Professional		$143.41	$220.18	$452.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $163.65 / $240.44 / $408.74	Professional		$163.65	$240.44	$408.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $112.67 / $221.87 / $346.01	Facility		$112.67	$221.87	$346.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $138.77 / $227.07 / $501.00	Professional		$138.77	$227.07	$501.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $155.90 / $240.33 / $341.70	Facility		$155.90	$240.33	$341.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $112.67 / $234.18 / $436.77	Facility		$112.67	$234.18	$436.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $164.10 / $244.40 / $454.08	Professional		$164.10	$244.40	$454.08
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 Professional Modifier Low / Median / High Price $165.09 / $271.77 / $482.28	Professional		$165.09	$271.77	$482.28
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $2,385.00 / $7,480.00	Facility		$1,106.00	$2,385.00	$7,480.00
United Facility/Professional Professional Modifier Low / Median / High Price $215.22 / $290.39 / $541.54	Professional		$215.22	$290.39	$541.54