Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $227.08 / $668.80 / $6,629.40	Facility		$227.08	$668.80	$6,629.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.72 / $179.37 / $368.64	Professional		$105.72	$179.37	$368.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.43 / $290.74 / $504.64	Professional		$173.43	$290.74	$504.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $190.14 / $263.77 / $433.09	Professional		$190.14	$263.77	$433.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $153.87 / $273.52 / $456.50	Facility		$153.87	$273.52	$456.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $186.80 / $304.10 / $400.89	Professional		$186.80	$304.10	$400.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $178.94 / $313.50 / $401.25	Facility		$178.94	$313.50	$401.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $159.19 / $283.18 / $481.39	Facility		$159.19	$283.18	$481.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $207.65 / $316.45 / $471.21	Professional		$207.65	$316.45	$471.21
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,400.90 / $1,985.16 / $2,351.11	Facility		$1,400.90	$1,985.16	$2,351.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $212.99 / $345.12 / $531.54	Professional		$212.99	$345.12	$531.54
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 $250.38 / $377.41 / $573.66	Professional		$250.38	$377.41	$573.66