Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $369.74 / $427.71 / $785.26	Facility		$369.74	$427.71	$785.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $388.83 / $392.63 / $668.79	Professional		$388.83	$392.63	$668.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $370.40 / $634.70 / $747.54	Facility		$370.40	$634.70	$747.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $392.63 / $392.63 / $444.49	Professional		$392.63	$392.63	$444.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $616.29 / $847.04 / $1,017.94	Professional		$616.29	$847.04	$1,017.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $225.00 / $392.63 / $830.21	Facility		$225.00	$392.63	$830.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $392.63 / $416.19 / $510.42	Professional		$392.63	$416.19	$510.42
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $388.82 / $444.49 / $1,177.89	Facility		$388.82	$444.49	$1,177.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $243.75 / $392.63 / $732.98	Facility		$243.75	$392.63	$732.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $372.73 / $401.36 / $481.52	Professional		$372.73	$401.36	$481.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $299.13 / $481.64 / $1,134.27	Facility		$299.13	$481.64	$1,134.27
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $392.63 / $392.63 / $471.16	Professional		$392.63	$392.63	$471.16
United Facility/Professional Facility Modifier Low / Median / High Price $804.89 / $804.89 / $942.31	Facility		$804.89	$804.89	$942.31
United Facility/Professional Professional Modifier Low / Median / High Price $392.63 / $392.63 / $451.52	Professional		$392.63	$392.63	$451.52