Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.64 / $66.50 / $283.88	Facility		$46.64	$66.50	$283.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.20 / $158.47 / $273.55	Professional		$82.20	$158.47	$273.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.99 / $221.69 / $299.41	Facility		$95.99	$221.69	$299.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.66 / $297.02 / $373.12	Professional		$168.66	$297.02	$373.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $248.43 / $294.95 / $340.99	Professional		$248.43	$294.95	$340.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $102.40 / $179.97 / $323.70	Facility		$102.40	$179.97	$323.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $20.74 / $68.00 / $18,772.80	Professional		$20.74	$68.00	$18,772.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $165.44 / $248.43 / $251.92	Facility		$165.44	$248.43	$251.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $102.40 / $179.97 / $323.70	Facility		$102.40	$179.97	$323.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $179.08 / $307.12 / $373.12	Professional		$179.08	$307.12	$373.12
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $160.76 / $287.47 / $363.28	Facility		$160.76	$287.47	$363.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $220.82 / $266.73 / $356.26	Professional		$220.82	$266.73	$356.26
United Facility/Professional Professional Modifier Low / Median / High Price $143.09 / $196.56 / $389.55	Professional		$143.09	$196.56	$389.55