Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.19 / $415.03 / $692.22	Facility		$346.19	$415.03	$692.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.11 / $349.57 / $602.37	Professional		$346.11	$349.57	$602.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $326.52 / $479.57 / $679.98	Facility		$326.52	$479.57	$679.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.11 / $346.11 / $375.49	Professional		$346.11	$346.11	$375.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $341.26 / $759.93 / $891.93	Professional		$341.26	$759.93	$891.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $346.11 / $494.94 / $744.14	Facility		$346.11	$494.94	$744.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $346.11 / $366.87 / $449.94	Professional		$346.11	$366.87	$449.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $346.11 / $432.64 / $719.91	Facility		$346.11	$432.64	$719.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $346.11 / $479.57 / $744.14	Facility		$346.11	$479.57	$744.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $346.11 / $399.06 / $423.61	Professional		$346.11	$399.06	$423.61
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $317.58 / $529.97 / $1,168.55	Facility		$317.58	$529.97	$1,168.55
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $346.11 / $346.11 / $346.11	Professional		$346.11	$346.11	$346.11
United Facility/Professional Facility Modifier Low / Median / High Price $709.53 / $709.53 / $830.66	Facility		$709.53	$709.53	$830.66
United Facility/Professional Professional Modifier Low / Median / High Price $346.11 / $346.11 / $346.11	Professional		$346.11	$346.11	$346.11