Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $235.43 / $1,629.72 / $6,629.40	Facility		$235.43	$1,629.72	$6,629.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.09 / $249.92 / $898.40	Professional		$103.09	$249.92	$898.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $842.00	Facility		$842.00	$842.00	$842.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.22 / $295.57 / $715.42	Professional		$162.22	$295.57	$715.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $222.26 / $279.38 / $641.13	Professional		$222.26	$279.38	$641.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $145.43 / $312.67 / $603.41	Facility		$145.43	$312.67	$603.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $178.64 / $376.52 / $612.46	Professional		$178.64	$376.52	$612.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $212.39 / $473.02 / $528.75	Facility		$212.39	$473.02	$528.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $145.43 / $381.42 / $673.61	Facility		$145.43	$381.42	$673.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $200.20 / $349.24 / $693.00	Professional		$200.20	$349.24	$693.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,722.06 / $2,201.77 / $2,613.15	Facility		$1,722.06	$2,201.77	$2,613.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $203.93 / $341.76 / $743.79	Professional		$203.93	$341.76	$743.79
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 $347.84 / $515.38 / $813.25	Professional		$347.84	$515.38	$813.25