Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.03 / $3,213.00 / $8,728.00	Facility		$172.03	$3,213.00	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.12 / $130.61 / $467.69	Professional		$80.12	$130.61	$467.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.22 / $214.17 / $339.78	Professional		$123.22	$214.17	$339.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $148.19 / $200.74 / $280.62	Professional		$148.19	$200.74	$280.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $83.00 / $178.45 / $306.85	Facility		$83.00	$178.45	$306.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $129.16 / $196.20 / $324.97	Professional		$129.16	$196.20	$324.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $139.49 / $216.03 / $241.20	Facility		$139.49	$216.03	$241.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $83.00 / $193.80 / $306.85	Facility		$83.00	$193.80	$306.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $152.22 / $224.54 / $323.83	Professional		$152.22	$224.54	$323.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,799.56 / $2,403.83 / $3,156.31	Facility		$1,799.56	$2,403.83	$3,156.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $155.38 / $227.40 / $333.52	Professional		$155.38	$227.40	$333.52
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $2,385.00 / $7,480.00	Facility		$1,106.00	$2,385.00	$7,480.00
United Facility/Professional Professional Modifier Low / Median / High Price $183.91 / $274.36 / $374.48	Professional		$183.91	$274.36	$374.48