Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $229.09 / $6,606.93	Facility		$147.91	$229.09	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $114.82 / $363.08	Professional		$72.44	$114.82	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $186.21 / $316.23	Professional		$114.82	$186.21	$316.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $165.96 / $302.00	Professional		$120.23	$165.96	$302.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $165.96 / $309.03	Facility		$91.20	$165.96	$309.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $204.17 / $295.12	Professional		$114.82	$204.17	$295.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $245.47 / $257.04	Facility		$162.18	$245.47	$257.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $158.49 / $263.03	Facility		$91.20	$158.49	$263.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $190.55 / $316.23	Professional		$79.43	$190.55	$316.23
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $234.42 / $316.23	Professional		$158.49	$234.42	$316.23
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 $114.82 / $190.55 / $323.59	Professional		$114.82	$190.55	$323.59