Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,012.49 / $1,012.49 / $1,012.49	Facility		$1,012.49	$1,012.49	$1,012.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.72 / $260.27 / $260.27	Professional		$121.72	$260.27	$260.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.80 / $709.80 / $709.80	Facility		$709.80	$709.80	$709.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $315.18 / $405.57 / $557.91	Professional		$315.18	$405.57	$557.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $349.45 / $399.38 / $468.94	Professional		$349.45	$399.38	$468.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $260.27 / $372.20 / $559.60	Facility		$260.27	$372.20	$559.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $119.90 / $338.64 / $469.20	Professional		$119.90	$338.64	$469.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $278.83 / $334.47 / $475.70	Facility		$278.83	$334.47	$475.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $260.27 / $409.94 / $696.05	Facility		$260.27	$409.94	$696.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $301.73 / $424.96 / $557.25	Professional		$301.73	$424.96	$557.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $420.37 / $800.10 / $1,005.21	Facility		$420.37	$800.10	$1,005.21
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $334.53 / $427.48 / $503.12	Professional		$334.53	$427.48	$503.12
United Facility/Professional Professional Modifier Low / Median / High Price $233.11 / $310.24 / $564.92	Professional		$233.11	$310.24	$564.92