Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $501.19	Facility		$457.09	$457.09	$501.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $489.78	Professional		$457.09	$457.09	$489.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Facility		$1,023.29	$1,023.29	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Professional		$501.19	$501.19	$501.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $389.05 / $416.87	Professional		$162.18	$389.05	$416.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $602.56 / $891.25	Facility		$141.25	$602.56	$891.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $245.47 / $707.95	Professional		$91.20	$245.47	$707.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $309.03 / $316.23	Facility		$257.04	$309.03	$316.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $602.56 / $1,348.96	Facility		$457.09	$602.56	$1,348.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $363.08 / $501.19	Professional		$79.43	$363.08	$501.19
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $467.74 / $954.99	Facility		$302.00	$467.74	$954.99
United Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $851.14	Facility		$354.81	$354.81	$851.14
United Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $537.03 / $537.03	Professional		$512.86	$537.03	$537.03