Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $258.51 / $258.51 / $258.51	Facility		$258.51	$258.51	$258.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $246.20 / $285.00 / $740.00	Professional		$246.20	$285.00	$740.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $513.40 / $513.40 / $513.40	Facility		$513.40	$513.40	$513.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.49 / $269.49 / $269.49	Professional		$269.49	$269.49	$269.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $257.38 / $573.14 / $667.25	Professional		$257.38	$573.14	$667.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $261.14 / $373.44 / $561.47	Facility		$261.14	$373.44	$561.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $261.14 / $276.81 / $339.50	Professional		$261.14	$276.81	$339.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $253.56 / $276.81 / $542.00	Facility		$253.56	$276.81	$542.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $239.06 / $373.44 / $750.54	Facility		$239.06	$373.44	$750.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $252.12 / $269.49 / $307.95	Professional		$252.12	$269.49	$307.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $541.41 / $841.84 / $995.80	Facility		$541.41	$841.84	$995.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $259.74 / $259.74 / $259.74	Professional		$259.74	$259.74	$259.74
United Facility/Professional Professional Modifier Low / Median / High Price $271.89 / $288.74 / $288.74	Professional		$271.89	$288.74	$288.74