Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $851.14 / $6,606.93	Facility		$478.63	$851.14	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $363.08 / $776.25	Professional		$275.42	$363.08	$776.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $588.84 / $912.01	Professional		$338.84	$588.84	$912.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $776.25 / $933.25	Professional		$602.56	$776.25	$933.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $489.78 / $758.58	Facility		$323.59	$489.78	$758.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $602.56 / $870.96	Professional		$467.74	$602.56	$870.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $630.96 / $691.83	Facility		$467.74	$630.96	$691.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $489.78 / $741.31	Facility		$316.23	$489.78	$741.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $630.96 / $891.25	Professional		$79.43	$630.96	$891.25
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 $512.86 / $676.08 / $954.99	Professional		$512.86	$676.08	$954.99
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 $407.38 / $602.56 / $870.96	Professional		$407.38	$602.56	$870.96