Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $676.08 / $6,606.93	Facility		$177.83	$676.08	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $213.80 / $549.54	Professional		$77.62	$213.80	$549.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $2,398.83	Facility		$1,949.84	$1,949.84	$2,398.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $234.42 / $660.69	Professional		$107.15	$234.42	$660.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $208.93 / $724.44	Professional		$144.54	$208.93	$724.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $263.03 / $562.34	Facility		$85.11	$263.03	$562.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $338.84 / $660.69	Professional		$134.90	$338.84	$660.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $446.68 / $549.54	Facility		$309.03	$446.68	$549.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $223.87 / $549.54	Facility		$81.28	$223.87	$549.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $218.78 / $691.83	Professional		$79.43	$218.78	$691.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $8,912.51 / $10,715.19	Facility		$6,606.93	$8,912.51	$10,715.19
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $363.08 / $691.83	Professional		$151.36	$363.08	$691.83
United Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $9,120.11 / $12,882.50	Facility		$1,621.81	$9,120.11	$12,882.50
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $251.19 / $645.65	Professional		$123.03	$251.19	$645.65