Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $154.88 / $154.88	Facility		$154.88	$154.88	$154.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $154.88 / $467.74	Professional		$123.03	$154.88	$467.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Facility		$190.55	$190.55	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Professional		$138.04	$138.04	$138.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $562.34 / $707.95	Professional		$199.53	$562.34	$707.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $199.53 / $302.00	Facility		$158.49	$199.53	$302.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $208.93 / $281.84	Professional		$190.55	$208.93	$281.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $257.04 / $295.12	Facility		$208.93	$257.04	$295.12
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $263.03 / $295.12	Professional		$234.42	$263.03	$295.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $223.87 / $346.74	Facility		$144.54	$223.87	$346.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $229.09 / $275.42	Professional		$87.10	$229.09	$275.42
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $371.54 / $1,000.00	Facility		$218.78	$371.54	$1,000.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $295.12 / $295.12	Professional		$263.03	$295.12	$295.12
United Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $151.36 / $562.34	Facility		$128.82	$151.36	$562.34
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $128.82 / $245.47	Professional		$117.49	$128.82	$245.47