Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $354.81 / $416.87	Facility		$245.47	$354.81	$416.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $204.17 / $389.05	Professional		$144.54	$204.17	$389.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Facility		$1,096.48	$1,096.48	$1,096.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $398.11 / $549.54	Professional		$263.03	$398.11	$549.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $331.13 / $389.05	Professional		$169.82	$331.13	$389.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $346.74 / $537.03	Facility		$169.82	$346.74	$537.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $354.81 / $489.78	Professional		$257.04	$354.81	$489.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $309.03 / $416.87	Facility		$251.19	$309.03	$416.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $380.19 / $794.33	Facility		$223.87	$380.19	$794.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $363.08 / $457.09	Professional		$257.04	$363.08	$457.09
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,258.93 / $1,621.81	Facility		$1,047.13	$1,258.93	$1,621.81
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $380.19 / $398.11	Professional		$302.00	$380.19	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,513.56 / $1,949.84	Facility		$1,202.26	$1,513.56	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $186.21 / $501.19	Professional		$151.36	$186.21	$501.19