Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $229.09 / $7,943.28	Facility		$186.21	$229.09	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $138.04 / $288.40	Professional		$93.33	$138.04	$288.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $234.42 / $354.81	Professional		$123.03	$234.42	$354.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $223.87 / $323.59	Professional		$141.25	$223.87	$323.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $194.98 / $309.03	Facility		$123.03	$194.98	$309.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $223.87 / $309.03	Professional		$144.54	$223.87	$309.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $245.47 / $251.19	Facility		$194.98	$245.47	$251.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $186.21 / $302.00	Facility		$112.20	$186.21	$302.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $218.78 / $323.59	Professional		$79.43	$218.78	$323.59
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,041.74 / $2,630.27	Facility		$1,584.89	$2,041.74	$2,630.27
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $239.88 / $323.59	Professional		$173.78	$239.88	$323.59
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,754.23 / $7,413.10	Facility		$1,096.48	$2,754.23	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $223.87 / $331.13	Professional		$134.90	$223.87	$331.13