Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $467.74 / $7,943.28	Facility		$162.18	$467.74	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $173.78 / $457.09	Professional		$70.79	$173.78	$457.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $870.96 / $1,949.84	Facility		$870.96	$870.96	$1,949.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $213.80 / $512.86	Professional		$95.50	$213.80	$512.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $199.53 / $562.34	Professional		$134.90	$199.53	$562.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $218.78 / $467.74	Facility		$75.86	$218.78	$467.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $302.00 / $537.03	Professional		$125.89	$302.00	$537.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $380.19 / $426.58	Facility		$269.15	$380.19	$426.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $194.98 / $446.68	Facility		$74.13	$194.98	$446.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $199.53 / $537.03	Professional		$87.10	$199.53	$537.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,884.03 / $3,467.37	Facility		$2,238.72	$2,884.03	$3,467.37
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $323.59 / $537.03	Professional		$138.04	$323.59	$537.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $4,466.84 / $7,244.36	Facility		$1,548.82	$4,466.84	$7,244.36
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $218.78 / $512.86	Professional		$112.20	$218.78	$512.86