Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Facility		$120.23	$120.23	$120.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $181.97 / $288.40	Professional		$120.23	$181.97	$288.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Facility		$275.42	$275.42	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Professional		$204.17	$204.17	$204.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $251.19 / $309.03	Professional		$89.13	$251.19	$309.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $309.03 / $309.03	Facility		$123.03	$309.03	$309.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $169.82 / $323.59	Professional		$112.20	$169.82	$323.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $173.78 / $338.84	Facility		$114.82	$173.78	$338.84
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Professional		$323.59	$323.59	$323.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $151.36 / $380.19	Facility		$117.49	$151.36	$380.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $181.97 / $323.59	Professional		$87.10	$181.97	$323.59
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $346.74 / $676.08	Facility		$165.96	$346.74	$676.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $131.83 / $354.81	Professional		$123.03	$131.83	$354.81
United Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $501.19 / $660.69	Facility		$186.21	$501.19	$660.69
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $186.21 / $295.12	Professional		$123.03	$186.21	$295.12