Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $316.23 / $316.23	Facility		$316.23	$316.23	$316.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $316.23 / $467.74	Professional		$251.19	$316.23	$467.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $331.13	Facility		$331.13	$331.13	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Professional		$239.88	$239.88	$239.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $1,148.15 / $1,412.54	Professional		$407.38	$1,148.15	$1,412.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $398.11 / $562.34	Facility		$316.23	$398.11	$562.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $426.58 / $575.44	Professional		$389.05	$426.58	$575.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $512.86 / $524.81	Facility		$416.87	$512.86	$524.81
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $524.81 / $524.81	Professional		$478.63	$524.81	$524.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $457.09 / $741.31	Facility		$281.84	$457.09	$741.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $467.74 / $562.34	Professional		$87.10	$467.74	$562.34
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $741.31 / $2,041.74	Facility		$436.52	$741.31	$2,041.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $588.84 / $588.84	Professional		$537.03	$588.84	$588.84
United Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $363.08 / $1,148.15	Facility		$263.03	$363.08	$1,148.15
United Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $263.03 / $501.19	Professional		$239.88	$263.03	$501.19