Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $269.15 / $7,943.28	Facility		$162.18	$269.15	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $125.89 / $295.12	Professional		$100.00	$125.89	$295.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Facility		$1,659.59	$1,659.59	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $204.17 / $288.40	Professional		$114.82	$204.17	$288.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $204.17 / $257.04	Professional		$154.88	$204.17	$257.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $162.18 / $269.15	Facility		$109.65	$162.18	$269.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $199.53 / $269.15	Professional		$165.96	$199.53	$269.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $213.80 / $223.87	Facility		$181.97	$213.80	$223.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $162.18 / $269.15	Facility		$104.71	$162.18	$269.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $218.78 / $302.00	Professional		$79.43	$218.78	$302.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Facility		$575.44	$575.44	$575.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $234.42 / $302.00	Professional		$204.17	$234.42	$302.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $7,585.78 / $31,622.78	Facility		$1,412.54	$7,585.78	$31,622.78
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $218.78 / $316.23	Professional		$131.83	$218.78	$316.23