Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $233.87 / $326.20 / $1,499.87	Professional		$233.87	$326.20	$1,499.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $379.04 / $379.04 / $379.04	Facility		$379.04	$379.04	$379.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $276.70 / $276.70 / $379.04	Professional		$276.70	$276.70	$379.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $380.67 / $1,100.83 / $1,435.76	Professional		$380.67	$1,100.83	$1,435.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $326.20 / $446.89 / $543.80	Facility		$326.20	$446.89	$543.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $404.34 / $511.18 / $571.00	Professional		$404.34	$511.18	$571.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $431.66 / $543.80 / $637.80	Facility		$431.66	$543.80	$637.80
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $431.66 / $543.80 / $637.80	Professional		$431.66	$543.80	$637.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $326.20 / $466.47 / $571.00	Facility		$326.20	$466.47	$571.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $276.70 / $476.17 / $598.19	Professional		$276.70	$476.17	$598.19
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $453.06 / $904.32 / $1,907.82	Facility		$453.06	$904.32	$1,907.82
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $467.68 / $598.19 / $598.19	Professional		$467.68	$598.19	$598.19
United Facility/Professional Facility Modifier Low / Median / High Price $259.82 / $259.82 / $259.82	Facility		$259.82	$259.82	$259.82
United Facility/Professional Professional Modifier Low / Median / High Price $246.79 / $259.33 / $494.79	Professional		$246.79	$259.33	$494.79