Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $449.66 / $449.66 / $449.66	Facility		$449.66	$449.66	$449.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $271.31 / $271.31 / $1,561.60	Professional		$271.31	$271.31	$1,561.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $358.71 / $358.71 / $358.71	Facility		$358.71	$358.71	$358.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $304.89 / $358.71 / $421.12	Professional		$304.89	$358.71	$421.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $359.51 / $462.23 / $1,441.63	Professional		$359.51	$462.23	$1,441.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $271.31 / $571.13 / $655.04	Facility		$271.31	$571.13	$655.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $53.30 / $487.91 / $622.29	Professional		$53.30	$487.91	$622.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $513.59 / $571.13 / $667.67	Facility		$513.59	$571.13	$667.67
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $487.91 / $539.42 / $654.85	Professional		$487.91	$539.42	$654.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $271.31 / $494.19 / $759.53	Facility		$271.31	$494.19	$759.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $358.71 / $476.19 / $598.36	Professional		$358.71	$476.19	$598.36
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $765.19 / $765.19 / $900.06	Facility		$765.19	$765.19	$900.06
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $518.95 / $518.95 / $518.95	Professional		$518.95	$518.95	$518.95
United Facility/Professional Facility Modifier Low / Median / High Price $39.13 / $293.47 / $391.30	Facility		$39.13	$293.47	$391.30
United Facility/Professional Professional Modifier Low / Median / High Price $270.02 / $300.52 / $518.95	Professional		$270.02	$300.52	$518.95