Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $311.80 / $453.07 / $1,902.18	Professional		$311.80	$453.07	$1,902.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $389.66 / $389.66 / $389.66	Facility		$389.66	$389.66	$389.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $284.45 / $284.45 / $389.66	Professional		$284.45	$284.45	$389.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $521.46 / $1,321.00 / $1,722.91	Professional		$521.46	$1,321.00	$1,722.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $453.07 / $620.71 / $744.94	Facility		$453.07	$620.71	$744.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $553.89 / $691.11 / $782.19	Professional		$553.89	$691.11	$782.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $591.30 / $670.45 / $744.94	Facility		$591.30	$670.45	$744.94
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $623.59 / $744.94 / $744.94	Professional		$623.59	$744.94	$744.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $374.90 / $639.79 / $782.19	Facility		$374.90	$639.79	$782.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $284.45 / $652.29 / $819.43	Professional		$284.45	$652.29	$819.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $620.64 / $1,238.80 / $2,613.46	Facility		$620.64	$1,238.80	$2,613.46
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $640.65 / $819.43 / $819.43	Professional		$640.65	$819.43	$819.43
United Facility/Professional Professional Modifier Low / Median / High Price $297.23 / $311.10 / $593.54	Professional		$297.23	$311.10	$593.54