Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.27 / $4,684.68 / $8,728.00	Facility		$88.27	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.40 / $154.91 / $291.85	Professional		$94.40	$154.91	$291.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.85 / $153.85 / $153.85	Professional		$153.85	$153.85	$153.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $183.70 / $269.70 / $423.53	Professional		$183.70	$269.70	$423.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $126.04 / $270.99 / $532.10	Facility		$126.04	$270.99	$532.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $153.71 / $284.29 / $548.51	Professional		$153.71	$284.29	$548.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $170.52 / $340.49 / $500.49	Facility		$170.52	$340.49	$500.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $126.04 / $291.85 / $532.10	Facility		$126.04	$291.85	$532.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $178.29 / $299.57 / $567.15	Professional		$178.29	$299.57	$567.15
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,009.09 / $1,148.95 / $1,578.01	Facility		$1,009.09	$1,148.95	$1,578.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $163.02 / $321.64 / $562.80	Professional		$163.02	$321.64	$562.80
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $3,290.00 / $6,216.00	Facility		$376.00	$3,290.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $388.44 / $499.75 / $659.34	Professional		$388.44	$499.75	$659.34