Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $229.09 / $1,949.84	Facility		$144.54	$229.09	$1,949.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $120.23 / $257.04	Professional		$79.43	$120.23	$257.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Facility		$1,096.48	$1,096.48	$1,096.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $257.04 / $302.00	Professional		$177.83	$257.04	$302.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $223.87 / $257.04	Professional		$112.20	$223.87	$257.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $208.93 / $316.23	Facility		$134.90	$208.93	$316.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $239.88 / $323.59	Professional		$147.91	$239.88	$323.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $199.53 / $245.47	Facility		$165.96	$199.53	$245.47
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $354.81 / $354.81	Professional		$323.59	$354.81	$354.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $251.19 / $524.81	Facility		$147.91	$251.19	$524.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $223.87 / $288.40	Professional		$154.88	$223.87	$288.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,258.93 / $1,621.81	Facility		$1,047.13	$1,258.93	$1,621.81
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $218.78 / $263.03	Professional		$181.97	$218.78	$263.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,513.56 / $1,949.84	Facility		$1,202.26	$1,513.56	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $123.03 / $302.00	Professional		$87.10	$123.03	$302.00