Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $319.86 / $4,962.67 / $15,341.00	Facility		$319.86	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.36 / $242.03 / $594.27	Professional		$147.36	$242.03	$594.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $228.46 / $382.18 / $602.82	Professional		$228.46	$382.18	$602.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $277.27 / $375.58 / $537.41	Professional		$277.27	$375.58	$537.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $205.88 / $346.94 / $547.40	Facility		$205.88	$346.94	$547.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $233.23 / $364.58 / $654.24	Professional		$233.23	$364.58	$654.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $263.76 / $410.25 / $446.22	Facility		$263.76	$410.25	$446.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $205.88 / $442.64 / $2,327.00	Facility		$205.88	$442.64	$2,327.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $275.20 / $406.30 / $604.44	Professional		$275.20	$406.30	$604.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,568.64 / $2,283.92 / $5,273.56	Facility		$1,568.64	$2,283.92	$5,273.56
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $278.38 / $407.43 / $622.51	Professional		$278.38	$407.43	$622.51
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00
United Facility/Professional Professional Modifier Low / Median / High Price $333.37 / $461.42 / $698.98	Professional		$333.37	$461.42	$698.98