Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $293.95 / $460.75 / $2,610.17	Professional		$293.95	$460.75	$2,610.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $472.30 / $472.30 / $472.30	Facility		$472.30	$472.30	$472.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $344.78 / $344.78 / $472.30	Professional		$344.78	$344.78	$472.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $530.30 / $1,437.48 / $1,874.84	Professional		$530.30	$1,437.48	$1,874.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $460.75 / $631.23 / $757.58	Facility		$460.75	$631.23	$757.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $563.28 / $712.13 / $795.46	Professional		$563.28	$712.13	$795.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $601.34 / $757.58 / $834.62	Facility		$601.34	$757.58	$834.62
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $681.82 / $757.58 / $834.62	Professional		$681.82	$757.58	$834.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $428.68 / $650.65 / $795.46	Facility		$428.68	$650.65	$795.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $344.78 / $663.36 / $833.34	Professional		$344.78	$663.36	$833.34
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $631.16 / $1,259.82 / $2,657.82	Facility		$631.16	$1,259.82	$2,657.82
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $651.52 / $833.34 / $833.34	Professional		$651.52	$833.34	$833.34
United Facility/Professional Professional Modifier Low / Median / High Price $323.39 / $338.50 / $645.79	Professional		$323.39	$338.50	$645.79