Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $232.29 / $1,413.38 / $3,041.10	Facility		$232.29	$1,413.38	$3,041.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.53 / $231.21 / $550.04	Professional		$111.53	$231.21	$550.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.30 / $274.79 / $427.88	Professional		$168.30	$274.79	$427.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $203.98 / $276.66 / $370.79	Professional		$203.98	$276.66	$370.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $140.60 / $262.72 / $526.59	Facility		$140.60	$262.72	$526.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $179.52 / $280.33 / $485.93	Professional		$179.52	$280.33	$485.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $188.58 / $300.76 / $385.25	Facility		$188.58	$300.76	$385.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $140.60 / $297.50 / $519.21	Facility		$140.60	$297.50	$519.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $200.97 / $298.81 / $439.14	Professional		$200.97	$298.81	$439.14
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,512.07 / $2,009.73 / $2,436.37	Facility		$1,512.07	$2,009.73	$2,436.37
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $207.64 / $302.25 / $437.75	Professional		$207.64	$302.25	$437.75
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 $239.02 / $384.41 / $491.52	Professional		$239.02	$384.41	$491.52