Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.10 / $320.18 / $1,539.99	Professional		$180.10	$320.18	$1,539.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $252.60 / $252.60 / $252.60	Facility		$252.60	$252.60	$252.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.40 / $184.40 / $252.60	Professional		$184.40	$184.40	$252.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $373.62 / $848.00 / $1,106.01	Professional		$373.62	$848.00	$1,106.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $320.18 / $411.35 / $533.74	Facility		$320.18	$411.35	$533.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $396.86 / $501.72 / $533.74	Professional		$396.86	$501.72	$533.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $423.69 / $480.37 / $533.74	Facility		$423.69	$480.37	$533.74
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $473.89 / $533.74 / $587.11	Professional		$473.89	$533.74	$587.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $252.60 / $438.65 / $560.42	Facility		$252.60	$438.65	$560.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $184.40 / $467.36 / $587.11	Professional		$184.40	$467.36	$587.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $444.69 / $887.60 / $1,872.52	Facility		$444.69	$887.60	$1,872.52
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $459.02 / $587.11 / $587.11	Professional		$459.02	$587.11	$587.11
United Facility/Professional Professional Modifier Low / Median / High Price $190.04 / $199.71 / $382.78	Professional		$190.04	$199.71	$382.78