Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $287.31 / $297.58 / $327.32	Facility		$287.31	$297.58	$327.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.33 / $187.23 / $749.78	Professional		$87.33	$187.23	$749.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $696.50 / $696.50 / $696.50	Facility		$696.50	$696.50	$696.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.76 / $296.36 / $383.52	Professional		$204.76	$296.36	$383.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $255.67 / $304.02 / $346.32	Professional		$255.67	$304.02	$346.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $187.23 / $298.13 / $402.54	Facility		$187.23	$298.13	$402.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $214.48 / $241.29 / $398.52	Professional		$214.48	$241.29	$398.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $193.32 / $259.68 / $321.02	Facility		$193.32	$259.68	$321.02
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $102.81 / $172.71 / $172.71	Professional		$102.81	$172.71	$172.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $267.74 / $337.31 / $448.50	Facility		$267.74	$337.31	$448.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $231.40 / $313.48 / $381.65	Professional		$231.40	$313.48	$381.65
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $669.14 / $808.63 / $1,041.28	Facility		$669.14	$808.63	$1,041.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $246.96 / $311.64 / $371.42	Professional		$246.96	$311.64	$371.42
United Facility/Professional Professional Modifier Low / Median / High Price $117.28 / $155.78 / $406.12	Professional		$117.28	$155.78	$406.12