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 / $313.27 / $322.97	Professional		$258.37	$313.27	$322.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $524.79 / $808.19 / $938.34	Facility		$524.79	$808.19	$938.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $209.93 / $322.86 / $463.59	Professional		$209.93	$322.86	$463.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $322.95 / $787.23 / $849.38	Professional		$322.95	$787.23	$849.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $171.17 / $322.95 / $673.53	Facility		$171.17	$322.95	$673.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $322.95 / $355.26 / $439.23	Professional		$322.95	$355.26	$439.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $322.95 / $364.94 / $565.17	Facility		$322.95	$364.94	$565.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $171.17 / $371.40 / $704.05	Facility		$171.17	$371.40	$704.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $322.86 / $355.26 / $452.14	Professional		$322.86	$355.26	$452.14
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $629.77 / $982.77 / $1,267.91	Facility		$629.77	$982.77	$1,267.91
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $289.08 / $503.10 / $795.88	Professional		$289.08	$503.10	$795.88
United Facility/Professional Professional Modifier Low / Median / High Price $135.63 / $150.72 / $387.55	Professional		$135.63	$150.72	$387.55