Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $365.82 / $372.30 / $409.73	Facility		$365.82	$372.30	$409.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.98 / $247.95 / $704.55	Professional		$110.98	$247.95	$704.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,084.56 / $1,084.56 / $1,084.56	Facility		$1,084.56	$1,084.56	$1,084.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $286.01 / $396.64 / $498.77	Professional		$286.01	$396.64	$498.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $171.28 / $382.02 / $408.57	Professional		$171.28	$382.02	$408.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $247.95 / $354.57 / $472.06	Facility		$247.95	$354.57	$472.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $255.00 / $279.44 / $506.28	Professional		$255.00	$279.44	$506.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $205.20 / $312.36 / $350.20	Facility		$205.20	$312.36	$350.20
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $245.84 / $245.84 / $273.14	Professional		$245.84	$245.84	$273.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $354.57 / $425.90 / $564.65	Facility		$354.57	$425.90	$564.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $235.20 / $382.28 / $458.16	Professional		$235.20	$382.28	$458.16
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,037.60 / $1,258.55 / $1,551.28	Facility		$1,037.60	$1,258.55	$1,551.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $313.74 / $395.06 / $471.85	Professional		$313.74	$395.06	$471.85
United Facility/Professional Professional Modifier Low / Median / High Price $153.03 / $187.23 / $515.92	Professional		$153.03	$187.23	$515.92