Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.60 / $324.92 / $1,064.14	Facility		$275.60	$324.92	$1,064.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.97 / $239.61 / $654.83	Professional		$149.97	$239.61	$654.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $193.95 / $298.68 / $511.95	Facility		$193.95	$298.68	$511.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.87 / $220.69 / $391.41	Professional		$124.87	$220.69	$391.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $220.48 / $517.54 / $570.47	Professional		$220.48	$517.54	$570.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $201.13 / $400.13 / $680.87	Facility		$201.13	$400.13	$680.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $368.79 / $430.99 / $733.11	Professional		$368.79	$430.99	$733.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $316.86 / $438.18 / $576.20	Facility		$316.86	$438.18	$576.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $274.64 / $552.82 / $790.05	Facility		$274.64	$552.82	$790.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $220.69 / $443.27 / $630.87	Professional		$220.69	$443.27	$630.87
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,770.64 / $2,595.35 / $3,218.99	Facility		$1,770.64	$2,595.35	$3,218.99
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $406.98 / $442.67 / $724.74	Professional		$406.98	$442.67	$724.74
United Facility/Professional Professional Modifier Low / Median / High Price $138.26 / $178.52 / $537.10	Professional		$138.26	$178.52	$537.10