Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $575.44 / $6,606.93	Facility		$316.23	$575.44	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $245.47 / $524.81	Professional		$154.88	$245.47	$524.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $380.19 / $660.69	Professional		$204.17	$380.19	$660.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $426.58 / $645.65	Professional		$288.40	$426.58	$645.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $323.59 / $562.34	Facility		$173.78	$323.59	$562.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $416.87 / $602.56	Professional		$263.03	$416.87	$602.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $478.63 / $512.86	Facility		$323.59	$478.63	$512.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $323.59 / $537.03	Facility		$177.83	$323.59	$537.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $389.05 / $630.96	Professional		$79.43	$389.05	$630.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $5,128.61 / $6,165.95	Facility		$3,890.45	$5,128.61	$6,165.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $446.68 / $645.65	Professional		$295.12	$446.68	$645.65
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $3,715.35 / $7,413.10	Facility		$1,096.48	$3,715.35	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $371.54 / $616.60	Professional		$234.42	$371.54	$616.60