Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $327.14 / $4,962.67 / $15,341.00	Facility		$327.14	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.50 / $223.86 / $500.65	Professional		$130.50	$223.86	$500.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $451.00 / $451.00 / $451.00	Facility		$451.00	$451.00	$451.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.64 / $331.03 / $596.85	Professional		$176.64	$331.03	$596.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $241.37 / $348.43 / $548.23	Professional		$241.37	$348.43	$548.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $188.37 / $321.79 / $535.41	Facility		$188.37	$321.79	$535.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $236.97 / $357.00 / $518.55	Professional		$236.97	$357.00	$518.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $266.52 / $423.91 / $473.69	Facility		$266.52	$423.91	$473.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $194.02 / $374.12 / $605.82	Facility		$194.02	$374.12	$605.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $264.12 / $378.88 / $562.40	Professional		$264.12	$378.88	$562.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,454.55 / $6,944.43 / $8,747.84	Facility		$5,454.55	$6,944.43	$8,747.84
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $8,181.83 / $10,416.65 / $13,121.76	Facility	50	$8,181.83	$10,416.65	$13,121.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $268.16 / $413.11 / $617.75	Professional		$268.16	$413.11	$617.75
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00
United Facility/Professional Professional Modifier Low / Median / High Price $295.20 / $430.94 / $624.20	Professional		$295.20	$430.94	$624.20