Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $707.95 / $6,606.93	Facility		$407.38	$707.95	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $331.13 / $676.08	Professional		$245.47	$331.13	$676.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Facility		$77.62	$77.62	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $501.19 / $776.25	Professional		$281.84	$501.19	$776.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $660.69 / $812.83	Professional		$524.81	$660.69	$812.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $407.38 / $645.65	Facility		$269.15	$407.38	$645.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $489.78 / $758.58	Professional		$380.19	$489.78	$758.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $524.81 / $602.56	Facility		$380.19	$524.81	$602.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $407.38 / $630.96	Facility		$263.03	$407.38	$630.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $524.81 / $758.58	Professional		$79.43	$524.81	$758.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $741.31 / $891.25	Facility		$562.34	$741.31	$891.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $575.44 / $794.33	Professional		$398.11	$575.44	$794.33
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $1,202.26 / $6,165.95	Facility		$389.05	$1,202.26	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $501.19 / $741.31	Professional		$331.13	$501.19	$741.31