Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $457.09 / $1,148.15	Facility		$323.59	$457.09	$1,148.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $239.88 / $467.74	Professional		$173.78	$239.88	$467.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $676.08 / $933.25	Facility		$416.87	$676.08	$933.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $281.84 / $501.19	Professional		$162.18	$281.84	$501.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $549.54 / $676.08	Professional		$257.04	$549.54	$676.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $309.03	Facility		$257.04	$257.04	$309.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $288.40 / $363.08	Professional		$257.04	$288.40	$363.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $489.78	Facility		$257.04	$257.04	$489.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $363.08 / $758.58	Facility		$229.09	$363.08	$758.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $288.40 / $407.38	Professional		$169.82	$288.40	$407.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $776.25 / $1,071.52	Facility		$389.05	$776.25	$1,071.52
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $218.78 / $309.03	Professional		$208.93	$218.78	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $407.38	Facility		$309.03	$309.03	$407.38
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $147.91 / $309.03	Professional		$107.15	$147.91	$309.03