Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $805.10 / $805.10 / $1,404.88	Facility		$805.10	$805.10	$1,404.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $258.37 / $305.02 / $313.27	Professional		$258.37	$305.02	$313.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $524.79 / $524.79 / $938.34	Facility		$524.79	$524.79	$938.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $209.93 / $209.93 / $209.93	Professional		$209.93	$209.93	$209.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $322.95 / $708.80 / $849.38	Professional		$322.95	$708.80	$849.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $242.22 / $313.27 / $710.51	Facility		$242.22	$313.27	$710.51
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $322.95 / $355.26 / $436.00	Professional		$322.95	$355.26	$436.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $322.95 / $361.72 / $565.17	Facility		$322.95	$361.72	$565.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $313.27 / $427.92 / $850.18	Facility		$313.27	$427.92	$850.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $355.26 / $376.79 / $502.39	Professional		$355.26	$376.79	$502.39
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $645.91 / $982.77 / $1,267.91	Facility		$645.91	$982.77	$1,267.91
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $516.04 / $634.91 / $1,015.71	Professional		$516.04	$634.91	$1,015.71
United Facility/Professional Professional Modifier Low / Median / High Price $135.63 / $135.63 / $358.85	Professional		$135.63	$135.63	$358.85