Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $741.31 / $1,174.90	Facility		$331.13	$741.31	$1,174.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $204.17 / $389.05	Professional		$169.82	$204.17	$389.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $691.83 / $758.58	Facility		$426.58	$691.83	$758.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $281.84 / $512.86	Professional		$131.83	$281.84	$512.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $562.34 / $691.83	Professional		$263.03	$562.34	$691.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $549.54	Facility		$263.03	$263.03	$549.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $288.40 / $371.54	Professional		$223.87	$288.40	$371.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $501.19	Facility		$263.03	$263.03	$501.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $363.08 / $758.58	Facility		$194.98	$363.08	$758.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $288.40 / $398.11	Professional		$134.90	$288.40	$398.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $794.33 / $1,096.48	Facility		$398.11	$794.33	$1,096.48
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $223.87 / $316.23	Professional		$208.93	$223.87	$316.23
United Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $316.23 / $416.87	Facility		$316.23	$316.23	$416.87
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $123.03 / $316.23	Professional		$109.65	$123.03	$316.23