Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $630.96 / $1,047.13	Facility		$416.87	$630.96	$1,047.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $426.58 / $588.84	Professional		$416.87	$426.58	$588.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $562.34 / $891.25	Facility		$398.11	$562.34	$891.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $457.09	Professional		$416.87	$416.87	$457.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $933.25 / $1,096.48	Professional		$416.87	$933.25	$1,096.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $446.68 / $831.76	Facility		$416.87	$446.68	$831.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $446.68 / $549.54	Professional		$60.26	$446.68	$549.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $537.03 / $891.25	Facility		$436.52	$537.03	$891.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $562.34 / $1,174.90	Facility		$338.84	$562.34	$1,174.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $257.04 / $457.09	Professional		$79.43	$257.04	$457.09
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $691.83 / $1,479.11	Facility		$389.05	$691.83	$1,479.11
United Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $1,000.00	Facility		$416.87	$416.87	$1,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $446.68	Professional		$416.87	$416.87	$446.68