Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $685.14 / $685.14 / $1,195.51	Facility		$685.14	$685.14	$1,195.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.49 / $209.54 / $266.58	Professional		$177.49	$209.54	$266.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $446.60 / $446.60 / $798.52	Facility		$446.60	$446.60	$798.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $274.83 / $603.69 / $723.40	Professional		$274.83	$603.69	$723.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $206.12 / $266.58 / $604.63	Facility		$206.12	$266.58	$604.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $274.83 / $274.83 / $371.02	Professional		$274.83	$274.83	$371.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $274.83 / $288.57 / $384.76	Facility		$274.83	$288.57	$384.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $266.58 / $349.03 / $695.54	Facility		$266.58	$349.03	$695.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $271.17 / $302.31 / $382.01	Professional		$271.17	$302.31	$382.01
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $535.91 / $836.31 / $1,078.90	Facility		$535.91	$836.31	$1,078.90
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $439.16 / $517.79 / $864.36	Professional		$439.16	$517.79	$864.36
United Facility/Professional Professional Modifier Low / Median / High Price $103.54 / $103.54 / $288.57	Professional		$103.54	$103.54	$288.57