Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $505.65 / $938.68 / $1,132.66	Facility		$505.65	$938.68	$1,132.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $279.11 / $343.84 / $788.81	Professional		$279.11	$343.84	$788.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $657.35 / $864.17 / $1,175.33	Facility		$657.35	$864.17	$1,175.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.67 / $446.33 / $725.51	Professional		$354.67	$446.33	$725.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $404.52 / $888.48 / $1,064.68	Professional		$404.52	$888.48	$1,064.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $303.39 / $424.75 / $843.62	Facility		$303.39	$424.75	$843.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $404.52 / $404.52 / $546.10	Professional		$404.52	$404.52	$546.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $404.52 / $424.75 / $892.98	Facility		$404.52	$424.75	$892.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $424.75 / $511.72 / $889.94	Facility		$424.75	$511.72	$889.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $404.52 / $458.56 / $582.51	Professional		$404.52	$458.56	$582.51
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $788.81 / $1,230.95 / $1,624.99	Facility		$788.81	$1,230.95	$1,624.99
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $714.61 / $795.50 / $1,272.57	Professional		$714.61	$795.50	$1,272.57
United Facility/Professional Professional Modifier Low / Median / High Price $137.57 / $169.90 / $424.75	Professional		$137.57	$169.90	$424.75