Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $349.22 / $349.22 / $349.22	Facility		$349.22	$349.22	$349.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $192.18 / $192.18 / $1,105.96	Professional		$192.18	$192.18	$1,105.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $267.62 / $267.62 / $267.62	Facility		$267.62	$267.62	$267.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $227.48 / $267.62 / $302.31	Professional		$227.48	$267.62	$302.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $269.26 / $346.19 / $1,119.60	Professional		$269.26	$346.19	$1,119.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $192.18 / $352.73 / $466.65	Facility		$192.18	$352.73	$466.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $38.25 / $301.86 / $384.65	Professional		$38.25	$301.86	$384.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $383.23 / $384.65 / $432.91	Facility		$383.23	$384.65	$432.91
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $383.23 / $384.65 / $396.19	Professional		$383.23	$384.65	$396.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $192.18 / $280.08 / $466.65	Facility		$192.18	$280.08	$466.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $267.62 / $337.34 / $383.23	Professional		$267.62	$337.34	$383.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $541.91 / $541.91 / $637.44	Facility		$541.91	$541.91	$637.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $367.69 / $367.69 / $367.69	Professional		$367.69	$367.69	$367.69
United Facility/Professional Professional Modifier Low / Median / High Price $189.17 / $191.23 / $382.46	Professional		$189.17	$191.23	$382.46