Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $457.09 / $1,318.26	Facility		$181.97	$457.09	$1,318.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $251.19 / $537.03	Professional		$194.98	$251.19	$537.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $776.25 / $851.14	Facility		$478.63	$776.25	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $323.59 / $524.81	Professional		$134.90	$323.59	$524.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $630.96 / $776.25	Professional		$295.12	$630.96	$776.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Facility		$295.12	$295.12	$295.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $295.12 / $416.87	Professional		$288.40	$295.12	$416.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $446.68	Facility		$295.12	$295.12	$446.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $416.87 / $851.14	Facility		$269.15	$416.87	$851.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $323.59 / $426.58	Professional		$165.96	$323.59	$426.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $891.25 / $1,230.27	Facility		$446.68	$891.25	$1,230.27
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $251.19 / $354.81	Professional		$234.42	$251.19	$354.81
United Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $478.63	Facility		$354.81	$354.81	$478.63
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $354.81	Professional		$123.03	$123.03	$354.81