Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $408.34 / $480.45 / $564.09	Professional		$408.34	$480.45	$564.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $524.92 / $524.92 / $524.92	Facility		$524.92	$524.92	$524.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $613.05 / $1,043.27 / $1,384.60	Professional		$613.05	$1,043.27	$1,384.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $895.11 / $1,092.71 / $1,252.51	Professional		$895.11	$1,092.71	$1,252.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $405.75 / $557.30 / $1,017.24	Facility		$405.75	$557.30	$1,017.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $243.45 / $385.46 / $405.75	Facility		$243.45	$385.46	$405.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $408.34 / $557.30 / $1,029.34	Facility		$408.34	$557.30	$1,029.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $486.90 / $851.14 / $1,274.98	Professional		$486.90	$851.14	$1,274.98
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $713.39 / $956.99 / $1,243.09	Facility		$713.39	$956.99	$1,243.09
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $692.82 / $904.52 / $1,215.64	Professional		$692.82	$904.52	$1,215.64
United Facility/Professional Professional Modifier Low / Median / High Price $621.11 / $952.94 / $1,456.15	Professional		$621.11	$952.94	$1,456.15