Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $269.15 / $7,943.28	Facility		$204.17	$269.15	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $123.03 / $263.03	Professional		$95.50	$123.03	$263.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $223.87 / $323.59	Professional		$138.04	$223.87	$323.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $213.80 / $275.42	Professional		$165.96	$213.80	$275.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $165.96 / $316.23	Facility		$112.20	$165.96	$316.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $194.98 / $302.00	Professional		$158.49	$194.98	$302.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $199.53 / $218.78	Facility		$138.04	$199.53	$218.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $154.88 / $263.03	Facility		$112.20	$154.88	$263.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $208.93 / $295.12	Professional		$79.43	$208.93	$295.12
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,187.76 / $2,754.23	Facility		$1,737.80	$2,187.76	$2,754.23
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $234.42 / $295.12	Professional		$199.53	$234.42	$295.12
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,951.21 / $7,413.10	Facility		$1,096.48	$2,951.21	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $199.53 / $295.12	Professional		$125.89	$199.53	$295.12