Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Facility		$446.68	$446.68	$446.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $338.84 / $588.84	Professional		$245.47	$338.84	$588.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Facility		$371.54	$371.54	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Professional		$275.42	$275.42	$275.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $1,202.26 / $1,548.82	Professional		$549.54	$1,202.26	$1,548.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $562.34 / $758.58	Facility		$446.68	$562.34	$758.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $588.84 / $812.83	Professional		$549.54	$588.84	$812.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $645.65 / $741.31	Facility		$588.84	$645.65	$741.31
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $741.31 / $741.31	Professional		$645.65	$741.31	$741.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $575.44 / $831.76	Facility		$346.74	$575.44	$831.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $645.65 / $794.33	Professional		$87.10	$645.65	$794.33
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,047.13 / $2,884.03	Facility		$616.60	$1,047.13	$2,884.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $831.76 / $831.76	Professional		$758.58	$831.76	$831.76
United Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $371.54 / $1,230.27	Facility		$269.15	$371.54	$1,230.27
United Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $281.84 / $537.03	Professional		$251.19	$281.84	$537.03