Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $478.63 / $6,606.93	Facility		$288.40	$478.63	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $181.97 / $426.58	Professional		$144.54	$181.97	$426.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $371.54 / $537.03	Professional		$181.97	$371.54	$537.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $338.84 / $446.68	Professional		$223.87	$338.84	$446.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $257.04 / $457.09	Facility		$177.83	$257.04	$457.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $263.03 / $478.63	Professional		$218.78	$263.03	$478.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $302.00 / $371.54	Facility		$213.80	$302.00	$371.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $218.78 / $346.74	Facility		$169.82	$218.78	$346.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $331.13 / $467.74	Professional		$79.43	$331.13	$467.74
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,079.46 / $9,772.37 / $11,748.98	Facility		$7,079.46	$9,772.37	$11,748.98
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $380.19 / $501.19	Professional		$288.40	$380.19	$501.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $9,772.37 / $14,125.38	Facility		$1,995.26	$9,772.37	$14,125.38
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $288.40 / $478.63	Professional		$181.97	$288.40	$478.63