Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $440.85 / $440.85 / $440.85	Facility		$440.85	$440.85	$440.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $287.05 / $295.89 / $1,618.69	Professional		$287.05	$295.89	$1,618.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $292.50 / $292.50 / $292.50	Facility		$292.50	$292.50	$292.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $248.63 / $292.50 / $418.36	Professional		$248.63	$292.50	$418.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $401.95 / $459.38 / $1,413.38	Professional		$401.95	$459.38	$1,413.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $287.05 / $431.53 / $574.22	Facility		$287.05	$431.53	$574.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $45.30 / $433.36 / $562.33	Professional		$45.30	$433.36	$562.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $491.35 / $560.76 / $631.64	Facility		$491.35	$560.76	$631.64
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $503.14 / $560.76 / $591.92	Professional		$503.14	$560.76	$591.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $162.05 / $393.26 / $574.22	Facility		$162.05	$393.26	$574.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $292.50 / $502.81 / $560.76	Professional		$292.50	$502.81	$560.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $811.83 / $811.83 / $954.92	Facility		$811.83	$811.83	$954.92
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $546.54 / $546.54 / $546.54	Professional		$546.54	$546.54	$546.54
United Facility/Professional Professional Modifier Low / Median / High Price $236.28 / $251.02 / $491.35	Professional		$236.28	$251.02	$491.35