Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $308.14 / $513.64 / $690.26	Facility		$308.14	$513.64	$690.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.65 / $209.54 / $480.71	Professional		$41.65	$209.54	$480.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.60 / $616.91 / $716.27	Facility		$400.60	$616.91	$716.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.35 / $271.87 / $442.36	Professional		$216.35	$271.87	$442.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $246.52 / $541.19 / $648.52	Professional		$246.52	$541.19	$648.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $184.89 / $258.85 / $542.34	Facility		$184.89	$258.85	$542.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $246.52 / $271.17 / $332.80	Professional		$246.52	$271.17	$332.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $246.52 / $258.85 / $544.19	Facility		$246.52	$258.85	$544.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $258.85 / $311.85 / $616.91	Facility		$258.85	$311.85	$616.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $259.91 / $283.50 / $354.99	Professional		$259.91	$283.50	$354.99
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $480.71 / $750.16 / $1,018.47	Facility		$480.71	$750.16	$1,018.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $435.11 / $484.52 / $774.84	Professional		$435.11	$484.52	$774.84
United Facility/Professional Professional Modifier Low / Median / High Price $103.54 / $103.54 / $258.85	Professional		$103.54	$103.54	$258.85