Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $331.13 / $6,606.93	Facility		$218.78	$331.13	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $158.49 / $331.13	Professional		$102.33	$158.49	$331.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $1,949.84	Facility		$1,949.84	$1,949.84	$1,949.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $245.47 / $407.38	Professional		$134.90	$245.47	$407.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $263.03 / $380.19	Professional		$194.98	$263.03	$380.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $186.21 / $338.84	Facility		$114.82	$186.21	$338.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $257.04 / $363.08	Professional		$177.83	$257.04	$363.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $288.40 / $316.23	Facility		$213.80	$288.40	$316.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $186.21 / $331.13	Facility		$109.65	$186.21	$331.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $263.03 / $371.54	Professional		$79.43	$263.03	$371.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,737.80 / $2,041.74	Facility		$1,258.93	$1,737.80	$2,041.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $281.84 / $389.05	Professional		$204.17	$281.84	$389.05
United Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $2,041.74 / $5,128.61	Facility		$186.21	$2,041.74	$5,128.61
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $257.04 / $398.11	Professional		$154.88	$257.04	$398.11