Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $602.56 / $7,943.28	Facility		$363.08	$602.56	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $251.19 / $512.86	Professional		$147.91	$251.19	$512.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $416.87 / $676.08	Professional		$251.19	$416.87	$676.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $389.05 / $645.65	Professional		$263.03	$389.05	$645.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $354.81 / $645.65	Facility		$199.53	$354.81	$645.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $436.52 / $616.60	Professional		$263.03	$436.52	$616.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $501.19 / $537.03	Facility		$338.84	$501.19	$537.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $331.13 / $562.34	Facility		$204.17	$331.13	$562.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $407.38 / $676.08	Professional		$79.43	$407.38	$676.08
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,238.72 / $2,691.53	Facility		$1,737.80	$2,238.72	$2,691.53
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $467.74 / $676.08	Professional		$331.13	$467.74	$676.08
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,951.21 / $7,413.10	Facility		$1,096.48	$2,951.21	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $389.05 / $676.08	Professional		$245.47	$389.05	$676.08