Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.10 / $160.78 / $890.09	Professional		$104.10	$160.78	$890.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.23 / $166.23 / $166.23	Facility		$166.23	$166.23	$166.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.35 / $121.35 / $166.23	Professional		$121.35	$121.35	$166.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $187.61 / $490.06 / $639.15	Professional		$187.61	$490.06	$639.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $160.78 / $220.27 / $268.02	Facility		$160.78	$220.27	$268.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $199.27 / $251.94 / $268.02	Professional		$199.27	$251.94	$268.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $212.73 / $251.25 / $276.38	Facility		$212.73	$251.25	$276.38
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $241.22 / $268.02 / $276.38	Professional		$241.22	$268.02	$276.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $154.50 / $229.92 / $281.42	Facility		$154.50	$229.92	$281.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $121.35 / $234.69 / $294.82	Professional		$121.35	$234.69	$294.82
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $223.30 / $445.70 / $940.31	Facility		$223.30	$445.70	$940.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $230.50 / $294.82 / $294.82	Professional		$230.50	$294.82	$294.82
United Facility/Professional Professional Modifier Low / Median / High Price $108.65 / $115.43 / $220.23	Professional		$108.65	$115.43	$220.23