Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $676.08 / $7,943.28	Facility		$537.03	$676.08	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $302.00 / $660.69	Professional		$257.04	$302.00	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $562.34 / $812.83	Professional		$295.12	$562.34	$812.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $380.19 / $575.44	Professional		$190.55	$380.19	$575.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $407.38 / $851.14	Facility		$223.87	$407.38	$851.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $446.68 / $691.83	Professional		$173.78	$446.68	$691.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $512.86 / $524.81	Facility		$398.11	$512.86	$524.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $389.05 / $645.65	Facility		$151.36	$389.05	$645.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $501.19 / $724.44	Professional		$79.43	$501.19	$724.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,248.07 / $9,772.37 / $13,182.57	Facility		$5,248.07	$9,772.37	$13,182.57
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $562.34 / $724.44	Professional		$478.63	$562.34	$724.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,754.40 / $15,135.61	Facility		$1,698.24	$5,754.40	$15,135.61
United Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $524.81 / $741.31	Professional		$338.84	$524.81	$741.31