Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $393.87 / $484.29 / $784.18	Facility		$393.87	$484.29	$784.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $392.08 / $397.81 / $685.33	Professional		$392.08	$397.81	$685.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $369.90 / $671.20 / $788.82	Facility		$369.90	$671.20	$788.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $392.09 / $392.09 / $425.38	Professional		$392.09	$392.09	$425.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $294.07 / $848.51 / $1,040.02	Professional		$294.07	$848.51	$1,040.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $184.71 / $393.87 / $560.69	Facility		$184.71	$393.87	$560.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $392.09 / $415.62 / $509.72	Professional		$392.09	$415.62	$509.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $392.09 / $490.11 / $1,176.27	Facility		$392.09	$490.11	$1,176.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $261.11 / $488.20 / $790.52	Facility		$261.11	$488.20	$790.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $322.58 / $480.87 / $496.21	Professional		$322.58	$480.87	$496.21
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $404.59 / $631.84 / $1,428.89	Facility		$404.59	$631.84	$1,428.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $392.09 / $392.09 / $450.90	Professional		$392.09	$392.09	$450.90
United Facility/Professional Professional Modifier Low / Median / High Price $392.09 / $392.09 / $450.90	Professional		$392.09	$392.09	$450.90