Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.12 / $81.45 / $362.84	Facility		$47.12	$81.45	$362.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.31 / $140.91 / $570.40	Professional		$117.31	$140.91	$570.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $122.42 / $282.55 / $381.61	Facility		$122.42	$282.55	$381.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.43 / $358.69 / $472.35	Professional		$139.43	$358.69	$472.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $313.35 / $371.94 / $430.33	Professional		$313.35	$371.94	$430.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $128.06 / $227.96 / $410.85	Facility		$128.06	$227.96	$410.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $21.35 / $90.00 / $18,772.80	Professional		$21.35	$90.00	$18,772.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $208.94 / $313.35 / $318.92	Facility		$208.94	$313.35	$318.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $129.37 / $227.96 / $410.85	Facility		$129.37	$227.96	$410.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $215.18 / $378.42 / $472.35	Professional		$215.18	$378.42	$472.35
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $204.95 / $366.48 / $463.08	Facility		$204.95	$366.48	$463.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $279.99 / $337.48 / $449.12	Professional		$279.99	$337.48	$449.12
United Facility/Professional Professional Modifier Low / Median / High Price $153.69 / $188.97 / $491.08	Professional		$153.69	$188.97	$491.08