Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $257.04 / $7,943.28	Facility		$177.83	$257.04	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $123.03 / $263.03	Professional		$93.33	$123.03	$263.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Facility		$64.57	$64.57	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $177.83 / $302.00	Professional		$120.23	$177.83	$302.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $208.93 / $281.84	Professional		$138.04	$208.93	$281.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $165.96 / $275.42	Facility		$109.65	$165.96	$275.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $190.55 / $288.40	Professional		$141.25	$190.55	$288.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $218.78 / $229.09	Facility		$158.49	$218.78	$229.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $165.96 / $288.40	Facility		$100.00	$165.96	$288.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $194.98 / $281.84	Professional		$79.43	$194.98	$281.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,258.93 / $1,584.89	Facility		$870.96	$1,258.93	$1,584.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $239.88 / $295.12	Professional		$190.55	$239.88	$295.12
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $2,187.76 / $6,165.95	Facility		$389.05	$2,187.76	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $199.53 / $295.12	Professional		$131.83	$199.53	$295.12