Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $436.29 / $2,080.85 / $3,122.72	Facility		$436.29	$2,080.85	$3,122.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.84 / $212.42 / $402.44	Professional		$136.84	$212.42	$402.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $285.68 / $285.68 / $285.68	Facility		$285.68	$285.68	$285.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $376.92 / $533.71 / $752.78	Professional		$376.92	$533.71	$752.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $493.81 / $580.47 / $686.93	Professional		$493.81	$580.47	$686.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $238.02 / $354.71 / $594.15	Facility		$238.02	$354.71	$594.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $208.65 / $283.17 / $298.07	Facility		$208.65	$283.17	$298.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $226.98 / $354.71 / $594.15	Facility		$226.98	$354.71	$594.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $357.68 / $503.04 / $676.26	Professional		$357.68	$503.04	$676.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,318.75 / $1,651.93 / $2,122.73	Facility		$1,318.75	$1,651.93	$2,122.73
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $348.84 / $478.30 / $636.47	Professional		$348.84	$478.30	$636.47
United Facility/Professional Professional Modifier Low / Median / High Price $260.83 / $516.36 / $787.73	Professional		$260.83	$516.36	$787.73