Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $489.78 / $7,943.28	Facility		$257.04	$489.78	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $234.42 / $524.81	Professional		$181.97	$234.42	$524.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Facility		$2,187.76	$2,187.76	$2,187.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $354.81 / $562.34	Professional		$204.17	$354.81	$562.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $380.19 / $457.09	Professional		$288.40	$380.19	$457.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $316.23 / $501.19	Facility		$194.98	$316.23	$501.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $371.54 / $501.19	Professional		$316.23	$371.54	$501.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $380.19 / $416.87	Facility		$338.84	$380.19	$416.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $316.23 / $478.63	Facility		$208.93	$316.23	$478.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $389.05 / $549.54	Professional		$79.43	$389.05	$549.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $416.87 / $616.60	Professional		$380.19	$416.87	$616.60
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $4,073.80 / $6,165.95	Facility		$389.05	$4,073.80	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $407.38 / $562.34	Professional		$269.15	$407.38	$562.34