Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $315.68 / $344.89 / $600.00	Professional		$315.68	$344.89	$600.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $375.73 / $375.73 / $375.73	Facility		$375.73	$375.73	$375.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $274.27 / $274.27 / $375.73	Professional		$274.27	$274.27	$375.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $374.64 / $1,037.63 / $1,353.33	Professional		$374.64	$1,037.63	$1,353.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $321.06 / $459.12 / $548.39	Facility		$321.06	$459.12	$548.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $481.68 / $522.66 / $561.96	Professional		$481.68	$522.66	$561.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $522.66 / $535.20 / $609.82	Facility		$522.66	$535.20	$609.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $321.06 / $468.65 / $561.96	Facility		$321.06	$468.65	$561.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $274.27 / $468.65 / $627.19	Professional		$274.27	$468.65	$627.19
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $445.91 / $890.04 / $1,877.69	Facility		$445.91	$890.04	$1,877.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $460.27 / $588.72 / $588.72	Professional		$460.27	$588.72	$588.72
United Facility/Professional Professional Modifier Low / Median / High Price $236.77 / $244.39 / $478.38	Professional		$236.77	$244.39	$478.38