Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $260.64 / $3,213.00 / $7,920.26	Facility		$260.64	$3,213.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.15 / $211.53 / $524.22	Professional		$134.15	$211.53	$524.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $201.15 / $343.66 / $533.35	Professional		$201.15	$343.66	$533.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $257.00 / $348.11 / $481.54	Professional		$257.00	$348.11	$481.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $186.09 / $315.39 / $475.09	Facility		$186.09	$315.39	$475.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $219.24 / $324.99 / $582.51	Professional		$219.24	$324.99	$582.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $215.87 / $335.67 / $397.31	Facility		$215.87	$335.67	$397.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $186.73 / $366.59 / $1,738.00	Facility		$186.73	$366.59	$1,738.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $246.84 / $361.50 / $529.70	Professional		$246.84	$361.50	$529.70
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,573.85 / $5,897.44 / $7,048.47	Facility		$4,573.85	$5,897.44	$7,048.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $251.84 / $368.58 / $551.45	Professional		$251.84	$368.58	$551.45
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,517.00 / $7,385.00	Facility		$1,689.00	$5,517.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $273.87 / $375.90 / $619.17	Professional		$273.87	$375.90	$619.17