Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $395.30 / $525.66 / $2,221.39	Professional		$395.30	$525.66	$2,221.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $496.34 / $496.34 / $496.34	Facility		$496.34	$496.34	$496.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $362.33 / $362.33 / $496.34	Professional		$362.33	$362.33	$496.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $605.01 / $1,630.66 / $2,126.78	Professional		$605.01	$1,630.66	$2,126.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $525.66 / $720.17 / $864.30	Facility		$525.66	$720.17	$864.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $642.64 / $812.44 / $907.52	Professional		$642.64	$812.44	$907.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $686.05 / $777.87 / $864.30	Facility		$686.05	$777.87	$864.30
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $769.91 / $864.30 / $864.30	Professional		$769.91	$864.30	$864.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $496.34 / $742.31 / $907.52	Facility		$496.34	$742.31	$907.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $362.33 / $756.81 / $950.73	Professional		$362.33	$756.81	$950.73
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $720.09 / $1,437.30 / $3,032.23	Facility		$720.09	$1,437.30	$3,032.23
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $743.30 / $950.73 / $950.73	Professional		$743.30	$950.73	$950.73
United Facility/Professional Professional Modifier Low / Median / High Price $366.98 / $384.10 / $732.81	Professional		$366.98	$384.10	$732.81