Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.82 / $336.98 / $1,854.26	Professional		$208.82	$336.98	$1,854.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $365.10 / $365.10 / $365.10	Facility		$365.10	$365.10	$365.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $266.52 / $266.52 / $365.10	Professional		$266.52	$266.52	$365.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $387.84 / $1,021.29 / $1,332.01	Professional		$387.84	$1,021.29	$1,332.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $336.98 / $461.66 / $554.05	Facility		$336.98	$461.66	$554.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $411.96 / $520.82 / $581.76	Professional		$411.96	$520.82	$581.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $439.79 / $498.65 / $554.05	Facility		$439.79	$498.65	$554.05
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $482.00 / $498.65 / $554.05	Professional		$482.00	$498.65	$554.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $336.98 / $475.86 / $581.76	Facility		$336.98	$475.86	$581.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $266.52 / $485.15 / $609.47	Professional		$266.52	$485.15	$609.47
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $461.61 / $921.38 / $1,943.80	Facility		$461.61	$921.38	$1,943.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $476.49 / $609.47 / $609.47	Professional		$476.49	$609.47	$609.47
United Facility/Professional Professional Modifier Low / Median / High Price $229.75 / $240.46 / $458.78	Professional		$229.75	$240.46	$458.78