Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $152.72 / $152.72 / $152.72	Facility		$152.72	$152.72	$152.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.66 / $111.66 / $643.03	Professional		$111.66	$111.66	$643.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.72 / $126.72 / $126.72	Facility		$126.72	$126.72	$126.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.71 / $126.72 / $155.83	Professional		$107.71	$126.72	$155.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $122.70 / $157.75 / $489.66	Professional		$122.70	$157.75	$489.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $117.24 / $327.97 / $376.16	Facility		$117.24	$327.97	$376.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $30.60 / $175.28 / $357.35	Professional		$30.60	$175.28	$357.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $175.28 / $227.86 / $367.34	Facility		$175.28	$227.86	$367.34
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $175.28 / $181.27 / $298.82	Professional		$175.28	$181.27	$298.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $111.66 / $276.75 / $436.15	Facility		$111.66	$276.75	$436.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $126.72 / $195.92 / $275.17	Professional		$126.72	$195.92	$275.17
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $315.08 / $315.08 / $370.62	Facility		$315.08	$315.08	$370.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $213.42 / $213.42 / $213.42	Professional		$213.42	$213.42	$213.42
United Facility/Professional Professional Modifier Low / Median / High Price $111.19 / $153.75 / $222.37	Professional		$111.19	$153.75	$222.37