Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $227.90 / $237.57 / $404.82	Professional		$227.90	$237.57	$404.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $237.10 / $237.10 / $237.10	Facility		$237.10	$237.10	$237.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.08 / $173.08 / $237.10	Professional		$173.08	$173.08	$237.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $277.23 / $803.97 / $1,048.58	Professional		$277.23	$803.97	$1,048.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $237.57 / $325.47 / $396.04	Facility		$237.57	$325.47	$396.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $294.47 / $372.28 / $415.84	Professional		$294.47	$372.28	$415.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $314.36 / $396.04 / $436.00	Facility		$314.36	$396.04	$436.00
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $356.44 / $396.04 / $436.00	Professional		$356.44	$396.04	$436.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $228.12 / $342.51 / $415.84	Facility		$228.12	$342.51	$415.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $173.08 / $346.79 / $435.64	Professional		$173.08	$346.79	$435.64
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $329.96 / $658.60 / $1,389.45	Facility		$329.96	$658.60	$1,389.45
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $340.59 / $435.64 / $435.64	Professional		$340.59	$435.64	$435.64
United Facility/Professional Professional Modifier Low / Median / High Price $178.19 / $189.30 / $361.16	Professional		$178.19	$189.30	$361.16