Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $714.64 / $714.64 / $714.64	Facility		$714.64	$714.64	$714.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $328.24 / $471.75 / $1,292.00	Professional		$328.24	$471.75	$1,292.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $411.63 / $766.69 / $1,080.82	Professional		$411.63	$766.69	$1,080.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $686.11 / $807.19 / $977.70	Professional		$686.11	$807.19	$977.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $368.05 / $683.64 / $963.90	Facility		$368.05	$683.64	$963.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $603.20 / $697.50 / $996.49	Professional		$603.20	$697.50	$996.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $550.76 / $748.85 / $767.15	Facility		$550.76	$748.85	$767.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $376.58 / $748.89 / $980.81	Facility		$376.58	$748.89	$980.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $673.21 / $826.56 / $1,051.56	Professional		$673.21	$826.56	$1,051.56
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $635.23 / $882.11 / $1,082.99	Professional		$635.23	$882.11	$1,082.99
United Facility/Professional Professional Modifier Low / Median / High Price $526.00 / $742.50 / $1,162.80	Professional		$526.00	$742.50	$1,162.80