Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $426.58 / $467.74	Facility		$288.40	$426.58	$467.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $199.53 / $436.52	Professional		$147.91	$199.53	$436.52
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 $295.12 / $478.63 / $537.03	Professional		$295.12	$478.63	$537.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $363.08 / $436.52	Professional		$181.97	$363.08	$436.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $338.84 / $630.96	Facility		$181.97	$338.84	$630.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $363.08 / $549.54	Professional		$251.19	$363.08	$549.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $338.84 / $389.05	Facility		$257.04	$338.84	$389.05
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $363.08	Professional		$275.42	$275.42	$363.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $416.87 / $891.25	Facility		$218.78	$416.87	$891.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $380.19 / $524.81	Professional		$257.04	$380.19	$524.81
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 $323.59 / $426.58 / $489.78	Professional		$323.59	$426.58	$489.78
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 $154.88 / $169.82 / $575.44	Professional		$154.88	$169.82	$575.44