Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $4,265.80 / $7,943.28	Facility		$177.83	$4,265.80	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $204.17 / $371.54	Professional		$67.61	$204.17	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $263.03 / $776.25	Professional		$109.65	$263.03	$776.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $234.42 / $575.44	Professional		$120.23	$234.42	$575.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $245.47 / $870.96	Facility		$87.10	$245.47	$870.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $234.42 / $616.60	Professional		$109.65	$234.42	$616.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $457.09 / $537.03	Facility		$295.12	$457.09	$537.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $223.87 / $588.84	Facility		$83.18	$223.87	$588.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $263.03 / $645.65	Professional		$138.04	$263.03	$645.65
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $245.47 / $602.56	Professional		$144.54	$245.47	$602.56
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $4,073.80 / $6,165.95	Facility		$389.05	$4,073.80	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $263.03 / $707.95	Professional		$125.89	$263.03	$707.95