Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.93 / $186.93 / $439.84	Facility		$186.93	$186.93	$439.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.53 / $182.53 / $186.93	Professional		$182.53	$182.53	$186.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $373.86 / $373.86 / $373.86	Facility		$373.86	$373.86	$373.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.93 / $186.93 / $186.93	Professional		$186.93	$186.93	$186.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $11.16 / $24.85 / $29.79	Professional		$11.16	$24.85	$29.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $156.58 / $241.91 / $392.44	Facility		$156.58	$241.91	$392.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2.73 / $13.25 / $24.58	Professional		$2.73	$13.25	$24.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $142.74 / $79,999.20 / $79,999.20	Facility		$142.74	$79,999.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $182.53 / $241.91 / $392.44	Facility		$182.53	$241.91	$392.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.87 / $186.93 / $229.08	Professional		$18.87	$186.93	$229.08
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $121.36 / $234.02 / $582.71	Facility		$121.36	$234.02	$582.71
United Facility/Professional Professional Modifier Low / Median / High Price $183.26 / $183.26 / $183.26	Professional		$183.26	$183.26	$183.26