Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $622.49 / $681.59 / $796.99	Facility		$622.49	$681.59	$796.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $126.97 / $746.91	Professional		$75.00	$126.97	$746.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $228.17 / $664.94 / $1,159.79	Professional		$228.17	$664.94	$1,159.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $510.70 / $626.02 / $768.83	Professional		$510.70	$626.02	$768.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $112.38 / $226.47 / $570.99	Facility		$112.38	$226.47	$570.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $370.95 / $501.60 / $836.00	Professional		$370.95	$501.60	$836.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $327.63 / $510.78 / $546.04	Facility		$327.63	$510.78	$546.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $126.97 / $259.50 / $713.94	Facility		$126.97	$259.50	$713.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $391.04 / $587.39 / $765.44	Professional		$391.04	$587.39	$765.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $268.41 / $553.86 / $749.80	Professional		$268.41	$553.86	$749.80
United Facility/Professional Professional Modifier Low / Median / High Price $106.08 / $159.12 / $710.51	Professional		$106.08	$159.12	$710.51