Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $891.25 / $13,182.57	Facility		$398.11	$891.25	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $316.23 / $758.58	Professional		$186.21	$316.23	$758.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $478.63 / $851.14	Professional		$269.15	$478.63	$851.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $602.56 / $954.99	Professional		$416.87	$602.56	$954.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $416.87 / $707.95	Facility		$245.47	$416.87	$707.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $501.19 / $831.76	Professional		$331.13	$501.19	$831.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $602.56 / $724.44	Facility		$416.87	$602.56	$724.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $407.38 / $691.83	Facility		$257.04	$407.38	$691.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $501.19 / $831.76	Professional		$79.43	$501.19	$831.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,309.57 / $10,232.93 / $12,302.69	Facility		$6,309.57	$10,232.93	$12,302.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $575.44 / $891.25	Professional		$371.54	$575.44	$891.25
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 $295.12 / $478.63 / $758.58	Professional		$295.12	$478.63	$758.58