Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.52 / $4,684.68 / $8,728.00	Facility		$174.52	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.81 / $112.08 / $280.69	Professional		$75.81	$112.08	$280.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.94 / $135.94 / $135.94	Facility		$135.94	$135.94	$135.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.65 / $173.43 / $281.02	Professional		$107.65	$173.43	$281.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $156.80 / $207.60 / $260.45	Professional		$156.80	$207.60	$260.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $99.19 / $153.52 / $236.04	Facility		$99.19	$153.52	$236.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $136.43 / $177.62 / $271.98	Professional		$136.43	$177.62	$271.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $128.25 / $182.75 / $215.07	Facility		$128.25	$182.75	$215.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $99.19 / $158.22 / $256.39	Facility		$99.19	$158.22	$256.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $145.53 / $198.12 / $278.14	Professional		$145.53	$198.12	$278.14
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $144.53 / $195.28 / $278.08	Professional		$144.53	$195.28	$278.08
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 $103.58 / $189.75 / $311.95	Professional		$103.58	$189.75	$311.95