Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Facility		$181.97	$181.97	$181.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $181.97 / $269.15	Professional		$131.83	$181.97	$269.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Facility		$186.21	$186.21	$186.21
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 $234.42 / $645.65 / $812.83	Professional		$234.42	$645.65	$812.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $229.09 / $269.15	Facility		$181.97	$229.09	$269.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $245.47 / $331.13	Professional		$229.09	$245.47	$331.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $295.12 / $309.03	Facility		$239.88	$295.12	$309.03
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $309.03 / $309.03	Professional		$275.42	$309.03	$309.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $263.03 / $407.38	Facility		$158.49	$263.03	$407.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $269.15 / $323.59	Professional		$87.10	$269.15	$323.59
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $436.52 / $1,174.90	Facility		$257.04	$436.52	$1,174.90
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $346.74 / $346.74	Professional		$309.03	$346.74	$346.74
United Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $263.03 / $660.69	Facility		$147.91	$263.03	$660.69
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $151.36 / $288.40	Professional		$134.90	$151.36	$288.40