Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.66 / $307.87 / $7,920.26	Facility		$138.66	$307.87	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.09 / $99.32 / $393.63	Professional		$55.09	$99.32	$393.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.54 / $170.66 / $370.57	Professional		$99.54	$170.66	$370.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $112.01 / $148.21 / $318.70	Professional		$112.01	$148.21	$318.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $85.66 / $156.87 / $267.26	Facility		$85.66	$156.87	$267.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $100.34 / $182.70 / $291.61	Professional		$100.34	$182.70	$291.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $117.95 / $169.24 / $266.92	Facility		$117.95	$169.24	$266.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $81.15 / $172.07 / $353.54	Facility		$81.15	$172.07	$353.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $115.57 / $182.28 / $345.41	Professional		$115.57	$182.28	$345.41
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $492.49 / $617.05 / $792.89	Facility		$492.49	$617.05	$792.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $120.42 / $198.24 / $390.37	Professional		$120.42	$198.24	$390.37
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 $175.94 / $253.50 / $403.11	Professional		$175.94	$253.50	$403.11