Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $283.62 / $426.44 / $1,888.30	Professional		$283.62	$426.44	$1,888.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $484.42 / $484.42 / $484.42	Facility		$484.42	$484.42	$484.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $353.63 / $353.63 / $484.42	Professional		$353.63	$353.63	$484.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $490.81 / $1,386.33 / $1,808.14	Professional		$490.81	$1,386.33	$1,808.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $426.44 / $584.22 / $701.15	Facility		$426.44	$584.22	$701.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $521.34 / $659.08 / $736.21	Professional		$521.34	$659.08	$736.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $556.58 / $684.72 / $757.65	Facility		$556.58	$684.72	$757.65
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $631.04 / $701.15 / $771.27	Professional		$631.04	$701.15	$771.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $426.44 / $609.80 / $736.21	Facility		$426.44	$609.80	$736.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $353.63 / $613.96 / $771.27	Professional		$353.63	$613.96	$771.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $584.16 / $1,166.00 / $2,459.89	Facility		$584.16	$1,166.00	$2,459.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $602.99 / $771.27 / $771.27	Professional		$602.99	$771.27	$771.27
United Facility/Professional Professional Modifier Low / Median / High Price $311.95 / $326.51 / $625.80	Professional		$311.95	$326.51	$625.80