Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $464.93 / $615.59 / $677.14	Professional		$464.93	$615.59	$677.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $636.97 / $636.97 / $636.97	Facility		$636.97	$636.97	$636.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $464.99 / $464.99 / $636.97	Professional		$464.99	$464.99	$636.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $409.49 / $1,231.52 / $1,606.20	Professional		$409.49	$1,231.52	$1,606.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $438.74 / $584.98 / $924.80	Facility		$438.74	$584.98	$924.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $549.88 / $584.98 / $833.49	Professional		$549.88	$584.98	$833.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $584.98 / $595.98 / $885.07	Facility		$584.98	$595.98	$885.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $464.93 / $614.23 / $849.24	Facility		$464.93	$614.23	$849.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $464.99 / $677.04 / $877.36	Professional		$464.99	$677.04	$877.36
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $602.02 / $1,491.78 / $2,360.76	Facility		$602.02	$1,491.78	$2,360.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $508.93 / $643.48 / $924.90	Professional		$508.93	$643.48	$924.90
United Facility/Professional Professional Modifier Low / Median / High Price $461.69 / $481.81 / $769.49	Professional		$461.69	$481.81	$769.49