Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.65 / $564.50 / $7,920.26	Facility		$229.65	$564.50	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.23 / $177.97 / $541.38	Professional		$93.23	$177.97	$541.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $152.52 / $273.02 / $501.68	Professional		$152.52	$273.02	$501.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $212.84 / $296.47 / $452.97	Professional		$212.84	$296.47	$452.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $128.13 / $221.13 / $353.76	Facility		$128.13	$221.13	$353.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $159.50 / $252.37 / $506.23	Professional		$159.50	$252.37	$506.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $160.40 / $248.20 / $377.21	Facility		$160.40	$248.20	$377.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $128.13 / $239.43 / $483.11	Facility		$128.13	$239.43	$483.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $202.23 / $296.08 / $501.17	Professional		$202.23	$296.08	$501.17
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $468.03 / $608.69 / $745.96	Facility		$468.03	$608.69	$745.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $216.88 / $346.27 / $533.44	Professional		$216.88	$346.27	$533.44
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $3,290.00 / $6,216.00	Facility		$376.00	$3,290.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $227.97 / $299.49 / $598.96	Professional		$227.97	$299.49	$598.96