Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $229.09 / $229.09	Facility		$229.09	$229.09	$229.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $213.80 / $323.59	Professional		$154.88	$213.80	$323.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Facility		$245.47	$245.47	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Professional		$177.83	$177.83	$177.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $776.25 / $954.99	Professional		$295.12	$776.25	$954.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $288.40 / $389.05	Facility		$229.09	$288.40	$389.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $309.03 / $416.87	Professional		$281.84	$309.03	$416.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $354.81 / $380.19	Facility		$302.00	$354.81	$380.19
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $380.19 / $380.19	Professional		$346.74	$380.19	$380.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $316.23 / $489.78	Facility		$190.55	$316.23	$489.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $331.13 / $398.11	Professional		$87.10	$331.13	$398.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $537.03 / $1,479.11	Facility		$316.23	$537.03	$1,479.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $426.58 / $426.58	Professional		$389.05	$426.58	$426.58
United Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $234.42 / $776.25	Facility		$173.78	$234.42	$776.25
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $177.83 / $338.84	Professional		$158.49	$177.83	$338.84