Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $380.19 / $7,943.28	Facility		$257.04	$380.19	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $147.91 / $363.08	Professional		$114.82	$147.91	$363.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $239.88 / $371.54	Professional		$144.54	$239.88	$371.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $316.23 / $380.19	Professional		$245.47	$316.23	$380.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $190.55 / $316.23	Facility		$141.25	$190.55	$316.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $257.04 / $398.11	Professional		$204.17	$257.04	$398.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $251.19 / $263.03	Facility		$190.55	$251.19	$263.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $204.17 / $302.00	Facility		$131.83	$204.17	$302.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $245.47 / $354.81	Professional		$79.43	$245.47	$354.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $5,011.87 / $6,025.60	Facility		$3,801.89	$5,011.87	$6,025.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $269.15 / $389.05	Professional		$223.87	$269.15	$389.05
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,495.41 / $7,413.10	Facility		$1,698.24	$5,495.41	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $251.19 / $354.81	Professional		$169.82	$251.19	$354.81