Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $245.47 / $281.84	Facility		$162.18	$245.47	$281.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $123.03 / $269.15	Professional		$77.62	$123.03	$269.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $2,137.96 / $2,754.23	Facility		$81.28	$2,137.96	$2,754.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $223.87 / $323.59	Professional		$134.90	$223.87	$323.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $229.09 / $288.40	Professional		$199.53	$229.09	$288.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $194.98 / $316.23	Facility		$104.71	$194.98	$316.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $223.87 / $338.84	Professional		$173.78	$223.87	$338.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $208.93 / $263.03	Facility		$158.49	$208.93	$263.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $204.17 / $346.74	Facility		$109.65	$204.17	$346.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $239.88 / $323.59	Professional		$173.78	$239.88	$323.59
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,398.83 / $3,090.30	Facility		$1,905.46	$2,398.83	$3,090.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $229.09 / $309.03	Professional		$190.55	$229.09	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,951.21 / $3,890.45	Facility		$2,398.83	$2,951.21	$3,890.45
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $165.96 / $309.03	Professional		$104.71	$165.96	$309.03