Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $350.00 / $406.00 / $784.00	Facility		$350.00	$406.00	$784.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.45 / $238.00 / $546.00	Professional		$70.45	$238.00	$546.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $455.00 / $455.00 / $813.54	Facility		$455.00	$455.00	$813.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.20 / $321.95 / $502.28	Professional		$295.20	$321.95	$502.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $280.00 / $615.04 / $737.02	Professional		$280.00	$615.04	$737.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $210.00 / $294.00 / $616.00	Facility		$210.00	$294.00	$616.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $280.00 / $280.00 / $378.00	Professional		$280.00	$280.00	$378.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $280.00 / $294.00 / $618.10	Facility		$280.00	$294.00	$618.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $294.00 / $354.20 / $680.60	Facility		$294.00	$354.20	$680.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $252.00 / $308.00 / $403.20	Professional		$252.00	$308.00	$403.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $546.00 / $852.04 / $1,099.25	Facility		$546.00	$852.04	$1,099.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $494.36 / $550.52 / $880.35	Professional		$494.36	$550.52	$880.35
United Facility/Professional Professional Modifier Low / Median / High Price $117.60 / $117.60 / $294.00	Professional		$117.60	$117.60	$294.00