Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $284.39 / $380.75 / $659.29	Facility		$284.39	$380.75	$659.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $283.72 / $350.00 / $552.79	Professional		$283.72	$350.00	$552.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $615.10 / $615.10 / $615.10	Facility		$615.10	$615.10	$615.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $307.55 / $307.55 / $307.55	Professional		$307.55	$307.55	$307.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $308.41 / $686.78 / $795.57	Professional		$308.41	$686.78	$795.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $312.89 / $447.45 / $672.74	Facility		$312.89	$447.45	$672.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $312.89 / $331.68 / $406.77	Professional		$312.89	$331.68	$406.77
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $298.04 / $331.67 / $649.41	Facility		$298.04	$331.67	$649.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $279.36 / $447.45 / $882.20	Facility		$279.36	$447.45	$882.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $287.72 / $313.77 / $368.99	Professional		$287.72	$313.77	$368.99
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $624.41 / $986.59 / $1,169.59	Facility		$624.41	$986.59	$1,169.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $296.43 / $296.43 / $296.43	Professional		$296.43	$296.43	$296.43
United Facility/Professional Professional Modifier Low / Median / High Price $310.30 / $329.52 / $329.52	Professional		$310.30	$329.52	$329.52