Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $184.37 / $251.46 / $1,209.47	Professional		$184.37	$251.46	$1,209.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $252.01 / $252.01 / $252.01	Facility		$252.01	$252.01	$252.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.97 / $183.97 / $252.01	Professional		$183.97	$183.97	$252.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $293.43 / $812.48 / $1,059.69	Professional		$293.43	$812.48	$1,059.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $251.46 / $344.50 / $419.18	Facility		$251.46	$344.50	$419.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $311.69 / $398.22 / $440.14	Professional		$311.69	$398.22	$440.14
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $332.74 / $419.18 / $461.10	Facility		$332.74	$419.18	$461.10
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $419.18 / $419.18 / $477.63	Professional		$419.18	$419.18	$477.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $251.46 / $359.59 / $440.14	Facility		$251.46	$359.59	$440.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $183.97 / $367.06 / $461.10	Professional		$183.97	$367.06	$461.10
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $349.25 / $697.10 / $1,470.66	Facility		$349.25	$697.10	$1,470.66
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $360.49 / $461.10 / $461.10	Professional		$360.49	$461.10	$461.10
United Facility/Professional Professional Modifier Low / Median / High Price $180.18 / $191.41 / $365.19	Professional		$180.18	$191.41	$365.19