Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $660.69 / $6,606.93	Facility		$165.96	$660.69	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $229.09 / $489.78	Professional		$81.28	$229.09	$489.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $1,949.84	Facility		$851.14	$851.14	$1,949.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $239.88 / $691.83	Professional		$109.65	$239.88	$691.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $223.87 / $758.58	Professional		$151.36	$223.87	$758.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $269.15 / $575.44	Facility		$91.20	$269.15	$575.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $363.08 / $691.83	Professional		$138.04	$363.08	$691.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $467.74 / $588.84	Facility		$316.23	$467.74	$588.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $234.42 / $562.34	Facility		$85.11	$234.42	$562.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $229.09 / $724.44	Professional		$79.43	$229.09	$724.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,884.03 / $3,548.13	Facility		$2,137.96	$2,884.03	$3,548.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $371.54 / $724.44	Professional		$158.49	$371.54	$724.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $4,570.88 / $7,244.36	Facility		$1,548.82	$4,570.88	$7,244.36
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $263.03 / $676.08	Professional		$125.89	$263.03	$676.08