Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $724.44 / $2,089.30	Facility		$588.84	$724.44	$2,089.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $398.11 / $912.01	Professional		$309.03	$398.11	$912.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $1,348.96	Facility		$758.58	$758.58	$1,348.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $501.19 / $831.76	Professional		$213.80	$501.19	$831.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $1,000.00 / $1,230.27	Professional		$467.74	$1,000.00	$1,230.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $467.74 / $549.54	Facility		$467.74	$467.74	$549.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $512.86 / $660.69	Professional		$457.09	$512.86	$660.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $467.74 / $707.95	Facility		$467.74	$467.74	$707.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $645.65 / $1,348.96	Facility		$416.87	$645.65	$1,348.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $512.86 / $676.08	Professional		$275.42	$512.86	$676.08
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,412.54 / $1,949.84	Facility		$707.95	$1,412.54	$1,949.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $398.11 / $562.34	Professional		$371.54	$398.11	$562.34
United Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $562.34 / $741.31	Facility		$562.34	$562.34	$741.31
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $562.34	Professional		$194.98	$194.98	$562.34