Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $251.19 / $7,943.28	Facility		$112.20	$251.19	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $114.82 / $251.19	Professional		$52.48	$114.82	$251.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $138.04 / $295.12	Professional		$69.18	$138.04	$295.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $134.90 / $309.03	Professional		$93.33	$134.90	$309.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $138.04 / $346.74	Facility		$63.10	$138.04	$346.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $173.78 / $281.84	Professional		$85.11	$173.78	$281.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $213.80 / $229.09	Facility		$162.18	$213.80	$229.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $114.82 / $251.19	Facility		$60.26	$114.82	$251.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $147.91 / $281.84	Professional		$79.43	$147.91	$281.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $173.78 / $281.84	Professional		$104.71	$173.78	$281.84
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $4,073.80 / $6,165.95	Facility		$389.05	$4,073.80	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $151.36 / $269.15	Professional		$85.11	$151.36	$269.15