Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.32 / $269.49 / $269.66	Facility		$245.32	$269.49	$269.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.03 / $137.77 / $289.27	Professional		$77.03	$137.77	$289.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.31 / $1,705.93 / $2,448.01	Facility		$81.31	$1,705.93	$2,448.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.33 / $214.22 / $321.82	Professional		$138.33	$214.22	$321.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $209.78 / $248.23 / $285.95	Professional		$209.78	$248.23	$285.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $101.28 / $211.10 / $344.32	Facility		$101.28	$211.10	$344.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $167.44 / $207.78 / $337.38	Professional		$167.44	$207.78	$337.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $135.18 / $209.78 / $262.64	Facility		$135.18	$209.78	$262.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $122.74 / $273.36 / $370.65	Facility		$122.74	$273.36	$370.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $169.58 / $253.28 / $327.75	Professional		$169.58	$253.28	$327.75
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,918.96 / $2,398.55 / $2,994.99	Facility		$1,918.96	$2,398.55	$2,994.99
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $211.31 / $238.37 / $328.44	Professional		$211.31	$238.37	$328.44
United Facility/Professional Professional Modifier Low / Median / High Price $102.37 / $165.89 / $373.99	Professional		$102.37	$165.89	$373.99