Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $258.95 / $258.95 / $258.95	Facility		$258.95	$258.95	$258.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.16 / $173.88 / $666.00	Professional		$138.16	$173.88	$666.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $176.58 / $176.58 / $176.58	Facility		$176.58	$176.58	$176.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.90 / $128.90 / $176.58	Professional		$128.90	$128.90	$176.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $202.90 / $561.78 / $732.69	Professional		$202.90	$561.78	$732.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $173.88 / $238.22 / $289.86	Facility		$173.88	$238.22	$289.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $215.53 / $272.47 / $304.35	Professional		$215.53	$272.47	$304.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $230.09 / $289.86 / $318.85	Facility		$230.09	$289.86	$318.85
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $230.09 / $289.86 / $300.24	Professional		$230.09	$289.86	$300.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $173.88 / $253.82 / $304.35	Facility		$173.88	$253.82	$304.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $128.90 / $253.82 / $318.85	Professional		$128.90	$253.82	$318.85
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $241.50 / $482.04 / $1,016.96	Facility		$241.50	$482.04	$1,016.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $249.28 / $318.85 / $318.85	Professional		$249.28	$318.85	$318.85
United Facility/Professional Professional Modifier Low / Median / High Price $124.59 / $132.35 / $252.52	Professional		$124.59	$132.35	$252.52