Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $741.31 / $6,606.93	Facility		$446.68	$741.31	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $323.59 / $794.33	Professional		$251.19	$323.59	$794.33
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 $302.00 / $537.03 / $831.76	Professional		$302.00	$537.03	$831.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $676.08 / $851.14	Professional		$524.81	$676.08	$851.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $436.52 / $724.44	Facility		$275.42	$436.52	$724.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $549.54 / $812.83	Professional		$407.38	$549.54	$812.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $562.34 / $645.65	Facility		$389.05	$562.34	$645.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $436.52 / $676.08	Facility		$275.42	$436.52	$676.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $562.34 / $812.83	Professional		$79.43	$562.34	$812.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $10,232.93 / $12,302.69	Facility		$7,762.47	$10,232.93	$12,302.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $616.60 / $831.76	Professional		$426.58	$616.60	$831.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $10,000.00 / $14,125.38	Facility		$1,995.26	$10,000.00	$14,125.38
United Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $537.03 / $812.83	Professional		$346.74	$537.03	$812.83