Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $238.04 / $4,684.68 / $8,728.00	Facility		$238.04	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.64 / $166.45 / $574.19	Professional		$110.64	$166.45	$574.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.00 / $273.91 / $430.75	Professional		$165.00	$273.91	$430.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $203.77 / $276.01 / $388.92	Professional		$203.77	$276.01	$388.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $125.55 / $263.11 / $360.00	Facility		$125.55	$263.11	$360.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $174.52 / $255.78 / $444.88	Professional		$174.52	$255.78	$444.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $178.49 / $271.35 / $327.63	Facility		$178.49	$271.35	$327.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $125.55 / $268.11 / $416.18	Facility		$125.55	$268.11	$416.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $204.57 / $298.45 / $432.32	Professional		$204.57	$298.45	$432.32
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $763.05 / $997.66 / $1,243.51	Facility		$763.05	$997.66	$1,243.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $209.11 / $306.04 / $459.54	Professional		$209.11	$306.04	$459.54
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $4,113.00 / $6,216.00	Facility		$376.00	$4,113.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $230.88 / $308.11 / $515.98	Professional		$230.88	$308.11	$515.98