Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Facility		$147.91	$147.91	$147.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $208.93 / $323.59	Professional		$131.83	$208.93	$323.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Facility		$309.03	$309.03	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $229.09	Professional		$229.09	$229.09	$229.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $281.84 / $346.74	Professional		$100.00	$281.84	$346.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $398.11 / $398.11	Facility		$147.91	$398.11	$398.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $190.55 / $426.58	Professional		$125.89	$190.55	$426.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $194.98 / $416.87	Facility		$128.82	$194.98	$416.87
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Professional		$426.58	$426.58	$426.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $177.83 / $467.74	Facility		$131.83	$177.83	$467.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $218.78 / $398.11	Professional		$87.10	$218.78	$398.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $426.58 / $891.25	Facility		$186.21	$426.58	$891.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $147.91 / $436.52	Professional		$138.04	$147.91	$436.52
United Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $630.96 / $831.76	Facility		$208.93	$630.96	$831.76
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $208.93 / $331.13	Professional		$141.25	$208.93	$331.13