Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $191.58 / $289.39 / $1,473.99	Professional		$191.58	$289.39	$1,473.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $305.27 / $305.27 / $305.27	Facility		$305.27	$305.27	$305.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $222.85 / $222.85 / $305.27	Professional		$222.85	$222.85	$305.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $333.09 / $811.77 / $1,058.76	Professional		$333.09	$811.77	$1,058.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $289.39 / $393.53 / $475.84	Facility		$289.39	$393.53	$475.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $353.79 / $447.29 / $499.63	Professional		$353.79	$447.29	$499.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $374.18 / $421.47 / $475.84	Facility		$374.18	$421.47	$475.84
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $383.15 / $475.84 / $475.84	Professional		$383.15	$475.84	$475.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $264.27 / $405.59 / $499.63	Facility		$264.27	$405.59	$499.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $222.85 / $416.66 / $523.41	Professional		$222.85	$416.66	$523.41
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $396.44 / $791.30 / $1,669.39	Facility		$396.44	$791.30	$1,669.39
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $409.22 / $523.41 / $523.41	Professional		$409.22	$523.41	$523.41
United Facility/Professional Professional Modifier Low / Median / High Price $182.63 / $191.15 / $364.69	Professional		$182.63	$191.15	$364.69