Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $357.07 / $4,684.68 / $8,728.00	Facility		$357.07	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.56 / $232.79 / $826.63	Professional		$148.56	$232.79	$826.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $241.95 / $417.81 / $596.42	Professional		$241.95	$417.81	$596.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $314.56 / $415.68 / $533.59	Professional		$314.56	$415.68	$533.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $229.21 / $375.16 / $544.96	Facility		$229.21	$375.16	$544.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $261.00 / $350.66 / $601.42	Professional		$261.00	$350.66	$601.42
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $246.58 / $399.75 / $444.21	Facility		$246.58	$399.75	$444.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $229.21 / $412.69 / $567.20	Facility		$229.21	$412.69	$567.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $298.62 / $424.21 / $601.75	Professional		$298.62	$424.21	$601.75
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,868.81 / $5,124.10 / $6,421.06	Facility		$3,868.81	$5,124.10	$6,421.06
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $311.39 / $427.93 / $626.29	Professional		$311.39	$427.93	$626.29
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $327.54 / $465.88 / $703.22	Professional		$327.54	$465.88	$703.22