Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $279.31 / $279.31 / $279.31	Facility		$279.31	$279.31	$279.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.65 / $198.65 / $1,143.47	Professional		$198.65	$198.65	$1,143.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $243.42 / $243.42 / $243.42	Facility		$243.42	$243.42	$243.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $206.91 / $243.42 / $314.00	Professional		$206.91	$243.42	$314.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $253.34 / $325.72 / $895.49	Professional		$253.34	$325.72	$895.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $198.65 / $391.76 / $521.30	Facility		$198.65	$391.76	$521.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $36.19 / $348.30 / $393.42	Professional		$36.19	$348.30	$393.42
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $361.91 / $415.13 / $509.09	Facility		$361.91	$415.13	$509.09
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $361.91 / $389.05 / $470.48	Professional		$361.91	$389.05	$470.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $198.65 / $313.41 / $521.30	Facility		$198.65	$313.41	$521.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $243.42 / $348.63 / $437.18	Professional		$243.42	$348.63	$437.18
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $560.29 / $560.29 / $659.06	Facility		$560.29	$560.29	$659.06
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $379.90 / $379.90 / $379.90	Professional		$379.90	$379.90	$379.90
United Facility/Professional Professional Modifier Low / Median / High Price $182.68 / $182.68 / $350.89	Professional		$182.68	$182.68	$350.89