Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.70 / $4,684.68 / $8,728.00	Facility		$106.70	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.32 / $111.90 / $285.57	Professional		$48.32	$111.90	$285.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.43 / $157.88 / $306.29	Professional		$85.43	$157.88	$306.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $90.95 / $133.63 / $253.05	Professional		$90.95	$133.63	$253.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $67.23 / $144.57 / $294.95	Facility		$67.23	$144.57	$294.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $76.86 / $164.92 / $315.33	Professional		$76.86	$164.92	$315.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $96.48 / $193.70 / $225.12	Facility		$96.48	$193.70	$225.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $67.23 / $160.88 / $294.95	Facility		$67.23	$160.88	$294.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $92.95 / $155.04 / $296.24	Professional		$92.95	$155.04	$296.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,719.37 / $2,217.60 / $2,633.84	Facility		$1,719.37	$2,217.60	$2,633.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $92.58 / $164.76 / $305.08	Professional		$92.58	$164.76	$305.08
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 $171.72 / $268.43 / $339.40	Professional		$171.72	$268.43	$339.40