Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $446.68 / $630.96	Professional		$41.69	$446.68	$630.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Professional		$398.11	$398.11	$398.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $190.55 / $223.87	Professional		$165.96	$190.55	$223.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $416.87 / $676.08	Facility		$40.74	$416.87	$676.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $446.68 / $602.56	Professional		$41.69	$446.68	$602.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $141.25 / $588.84	Facility		$112.20	$141.25	$588.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $436.52 / $616.60	Facility		$42.66	$436.52	$616.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $79.43 / $79.43	Professional		$70.79	$79.43	$79.43
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $245.47 / $1,122.02	Professional		$128.82	$245.47	$1,122.02
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $85.11 / $154.88	Professional		$52.48	$85.11	$154.88