Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $273.02 / $381.39 / $492.11	Professional		$273.02	$381.39	$492.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $547.66 / $547.66 / $547.66	Facility		$547.66	$547.66	$547.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $418.11 / $418.11 / $418.11	Professional		$418.11	$418.11	$418.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $773.16 / $956.30 / $1,141.58	Professional		$773.16	$956.30	$1,141.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $403.37 / $609.73 / $953.05	Facility		$403.37	$609.73	$953.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $651.66 / $818.05 / $1,295.44	Professional		$651.66	$818.05	$1,295.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $527.55 / $782.00 / $931.30	Facility		$527.55	$782.00	$931.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $408.21 / $683.81 / $982.52	Facility		$408.21	$683.81	$982.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $538.88 / $750.06 / $1,076.86	Professional		$538.88	$750.06	$1,076.86
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $370.25 / $532.14 / $550.62	Facility		$370.25	$532.14	$550.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $469.11 / $797.80 / $1,140.49	Professional		$469.11	$797.80	$1,140.49
United Facility/Professional Professional Modifier Low / Median / High Price $549.60 / $778.61 / $1,206.83	Professional		$549.60	$778.61	$1,206.83