Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Facility		$169.82	$169.82	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $154.88 / $245.47	Professional		$114.82	$154.88	$245.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Facility		$223.87	$223.87	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Professional		$165.96	$165.96	$165.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $562.34 / $707.95	Professional		$213.80	$562.34	$707.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $208.93 / $316.23	Facility		$169.82	$208.93	$316.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $223.87 / $302.00	Professional		$208.93	$223.87	$302.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $263.03 / $281.84	Facility		$218.78	$263.03	$281.84
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $281.84 / $281.84	Professional		$251.19	$281.84	$281.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $239.88 / $380.19	Facility		$141.25	$239.88	$380.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $245.47 / $295.12	Professional		$87.10	$245.47	$295.12
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $398.11 / $1,071.52	Facility		$234.42	$398.11	$1,071.52
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $316.23 / $316.23	Professional		$281.84	$316.23	$316.23
United Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $177.83 / $562.34	Facility		$131.83	$177.83	$562.34
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $128.82 / $251.19	Professional		$117.49	$128.82	$251.19