Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $705.18 / $705.18 / $1,230.53	Facility		$705.18	$705.18	$1,230.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.67 / $240.45 / $274.39	Professional		$203.67	$240.45	$274.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $459.68 / $459.68 / $821.90	Facility		$459.68	$459.68	$821.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $282.88 / $621.44 / $744.68	Professional		$282.88	$621.44	$744.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $212.16 / $274.39 / $622.34	Facility		$212.16	$274.39	$622.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $282.88 / $282.88 / $381.89	Professional		$282.88	$282.88	$381.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $282.88 / $311.17 / $495.04	Facility		$282.88	$311.17	$495.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $254.59 / $339.46 / $720.44	Facility		$254.59	$339.46	$720.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $311.17 / $311.17 / $396.03	Professional		$311.17	$311.17	$396.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $565.76 / $915.97 / $1,110.50	Facility		$565.76	$915.97	$1,110.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $452.15 / $555.97 / $889.94	Professional		$452.15	$555.97	$889.94
United Facility/Professional Professional Modifier Low / Median / High Price $118.81 / $118.81 / $297.02	Professional		$118.81	$118.81	$297.02