Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.13 / $159.08 / $369.71	Facility		$140.13	$159.08	$369.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.46 / $161.50 / $304.83	Professional		$133.46	$161.50	$304.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $262.26 / $262.26 / $262.26	Facility		$262.26	$262.26	$262.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.13 / $131.13 / $131.13	Professional		$131.13	$131.13	$131.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $131.72 / $293.32 / $351.49	Professional		$131.72	$293.32	$351.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $106.00 / $190.86 / $529.16	Facility		$106.00	$190.86	$529.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $37.61 / $141.47 / $17,728.12	Professional		$37.61	$141.47	$17,728.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $120.12 / $151.10 / $277.62	Facility		$120.12	$151.10	$277.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $106.00 / $154.55 / $395.07	Facility		$106.00	$154.55	$395.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $128.79 / $140.50 / $157.40	Professional		$128.79	$140.50	$157.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $203.73 / $406.30 / $524.03	Facility		$203.73	$406.30	$524.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $126.45 / $126.45 / $126.45	Professional		$126.45	$126.45	$126.45
United Facility/Professional Professional Modifier Low / Median / High Price $117.08 / $140.50 / $140.50	Professional		$117.08	$140.50	$140.50