Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $651.70 / $651.70 / $722.52	Facility		$651.70	$651.70	$722.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.75 / $443.95 / $1,090.50	Professional		$198.75	$443.95	$1,090.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,643.90 / $3,643.90 / $3,643.90	Facility		$3,643.90	$3,643.90	$3,643.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $509.14 / $692.76 / $889.26	Professional		$509.14	$692.76	$889.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $296.77 / $662.54 / $707.94	Professional		$296.77	$662.54	$707.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $443.95 / $655.20 / $954.49	Facility		$443.95	$655.20	$954.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $449.92 / $521.40 / $892.27	Professional		$449.92	$521.40	$892.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $438.05 / $579.54 / $701.19	Facility		$438.05	$579.54	$701.19
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $949.95 / $1,069.05 / $1,200.76	Professional		$949.95	$1,069.05	$1,200.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $634.85 / $757.25 / $1,053.75	Facility		$634.85	$757.25	$1,053.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $460.79 / $696.00 / $811.21	Professional		$460.79	$696.00	$811.21
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,585.79 / $4,297.70 / $5,377.72	Facility		$3,585.79	$4,297.70	$5,377.72
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $548.10 / $701.36 / $824.33	Professional		$548.10	$701.36	$824.33
United Facility/Professional Professional Modifier Low / Median / High Price $270.56 / $343.41 / $925.60	Professional		$270.56	$343.41	$925.60