Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.30 / $338.02 / $1,170.59	Professional		$152.30	$338.02	$1,170.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.00 / $170.00 / $170.00	Professional		$170.00	$170.00	$170.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $385.91 / $859.35 / $1,029.81	Professional		$385.91	$859.35	$1,029.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $94.57 / $405.72 / $483.37	Facility		$94.57	$405.72	$483.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $385.43 / $396.21 / $430.06	Professional		$385.43	$396.21	$430.06
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $365.15 / $396.21 / $527.44	Facility		$365.15	$396.21	$527.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $5.61 / $13.29 / $483.37	Facility		$5.61	$13.29	$483.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $5.61 / $170.00 / $446.29	Professional		$5.61	$170.00	$446.29
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $573.75 / $1,098.44 / $1,581.19	Facility		$573.75	$1,098.44	$1,581.19
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $308.35 / $308.35 / $324.58	Professional		$308.35	$308.35	$324.58
United Facility/Professional Professional Modifier Low / Median / High Price $333.93 / $593.77 / $1,037.67	Professional		$333.93	$593.77	$1,037.67