Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $339.76 / $423.34 / $680.62	Facility		$339.76	$423.34	$680.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $340.31 / $343.72 / $892.42	Professional		$340.31	$343.72	$892.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $321.05 / $471.56 / $680.08	Facility		$321.05	$471.56	$680.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $340.31 / $340.31 / $369.21	Professional		$340.31	$340.31	$369.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $255.23 / $735.06 / $876.62	Professional		$255.23	$735.06	$876.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $339.76 / $425.65 / $26,280.00	Facility		$339.76	$425.65	$26,280.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $340.31 / $374.34 / $527.48	Professional		$340.31	$374.34	$527.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $339.76 / $424.70 / $1,020.93	Facility		$339.76	$424.70	$1,020.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $321.17 / $426.75 / $986.36	Facility		$321.17	$426.75	$986.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $344.82 / $416.54 / $21,900.00	Professional		$344.82	$416.54	$21,900.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $354.62 / $596.40 / $20,395.29	Facility		$354.62	$596.40	$20,395.29
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $340.31 / $340.31 / $391.36	Professional		$340.31	$340.31	$391.36
United Facility/Professional Professional Modifier Low / Median / High Price $340.31 / $340.31 / $391.36	Professional		$340.31	$340.31	$391.36