Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $513.53 / $890.00 / $1,274.75	Facility		$513.53	$890.00	$1,274.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.30 / $346.73 / $829.50	Professional		$162.30	$346.73	$829.50
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 $418.63 / $546.05 / $746.84	Professional		$418.63	$546.05	$746.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $461.27 / $527.16 / $619.00	Professional		$461.27	$527.16	$619.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $323.61 / $475.02 / $697.85	Facility		$323.61	$475.02	$697.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $163.36 / $360.06 / $463.64	Professional		$163.36	$360.06	$463.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $335.65 / $441.50 / $461.63	Facility		$335.65	$441.50	$461.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $323.61 / $495.82 / $745.47	Facility		$323.61	$495.82	$745.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $353.88 / $500.50 / $649.13	Professional		$353.88	$500.50	$649.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $666.20 / $851.37 / $1,005.21	Facility		$666.20	$851.37	$1,005.21
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $431.36 / $565.32 / $667.99	Professional		$431.36	$565.32	$667.99
United Facility/Professional Professional Modifier Low / Median / High Price $301.81 / $329.76 / $750.03	Professional		$301.81	$329.76	$750.03