Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $389.05 / $6,606.93	Facility		$190.55	$389.05	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $158.49 / $537.03	Professional		$67.61	$158.49	$537.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $245.47 / $398.11	Professional		$147.91	$245.47	$398.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $229.09 / $371.54	Professional		$151.36	$229.09	$371.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $208.93 / $407.38	Facility		$117.49	$208.93	$407.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $234.42 / $363.08	Professional		$141.25	$234.42	$363.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $257.04 / $316.23	Facility		$158.49	$257.04	$316.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $190.55 / $323.59	Facility		$114.82	$190.55	$323.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $234.42 / $398.11	Professional		$79.43	$234.42	$398.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,258.93 / $1,621.81	Facility		$891.25	$1,258.93	$1,621.81
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $269.15 / $398.11	Professional		$194.98	$269.15	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $1,995.26 / $6,165.95	Facility		$389.05	$1,995.26	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $223.87 / $380.19	Professional		$138.04	$223.87	$380.19