Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $300.50 / $331.59 / $2,064.30	Professional		$300.50	$331.59	$2,064.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $347.13 / $347.13 / $347.13	Facility		$347.13	$347.13	$347.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $253.40 / $253.40 / $347.13	Professional		$253.40	$253.40	$347.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $386.95 / $1,136.34 / $1,482.08	Professional		$386.95	$1,136.34	$1,482.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $331.59 / $454.28 / $552.78	Facility		$331.59	$454.28	$552.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $411.02 / $519.61 / $580.41	Professional		$411.02	$519.61	$580.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $438.79 / $536.60 / $590.26	Facility		$438.79	$536.60	$590.26
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $497.50 / $552.78 / $590.26	Professional		$497.50	$552.78	$590.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $322.61 / $474.78 / $580.41	Facility		$322.61	$474.78	$580.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $253.40 / $484.03 / $608.05	Professional		$253.40	$484.03	$608.05
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $460.54 / $919.24 / $1,939.31	Facility		$460.54	$919.24	$1,939.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $475.39 / $608.05 / $608.05	Professional		$475.39	$608.05	$608.05
United Facility/Professional Professional Modifier Low / Median / High Price $251.99 / $267.70 / $510.75	Professional		$251.99	$267.70	$510.75