Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.61 / $1,606.50 / $7,920.26	Facility		$128.61	$1,606.50	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.34 / $139.22 / $396.00	Professional		$65.34	$139.22	$396.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.85 / $169.36 / $291.95	Professional		$107.85	$169.36	$291.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $122.92 / $174.29 / $263.61	Professional		$122.92	$174.29	$263.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $76.61 / $160.19 / $247.18	Facility		$76.61	$160.19	$247.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $105.68 / $169.57 / $327.12	Professional		$105.68	$169.57	$327.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $112.98 / $180.15 / $223.11	Facility		$112.98	$180.15	$223.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $76.61 / $164.71 / $284.89	Facility		$76.61	$164.71	$284.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $126.08 / $189.87 / $292.16	Professional		$126.08	$189.87	$292.16
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $633.79 / $997.66 / $1,243.51	Facility		$633.79	$997.66	$1,243.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $127.54 / $204.19 / $314.57	Professional		$127.54	$204.19	$314.57
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 $148.41 / $204.44 / $353.23	Professional		$148.41	$204.44	$353.23