Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Facility		$338.84	$338.84	$338.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $251.19 / $467.74	Professional		$186.21	$251.19	$467.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Facility		$363.08	$363.08	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Professional		$263.03	$263.03	$263.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $912.01 / $1,148.15	Professional		$416.87	$912.01	$1,148.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $416.87 / $562.34	Facility		$338.84	$416.87	$562.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $446.68 / $602.56	Professional		$407.38	$446.68	$602.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $457.09 / $562.34	Facility		$446.68	$457.09	$562.34
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $562.34 / $562.34	Professional		$457.09	$562.34	$562.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $426.58 / $630.96	Facility		$229.09	$426.58	$630.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $489.78 / $588.84	Professional		$87.10	$489.78	$588.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $794.33 / $2,137.96	Facility		$467.74	$794.33	$2,137.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $630.96 / $630.96	Professional		$562.34	$630.96	$630.96
United Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $309.03 / $912.01	Facility		$275.42	$309.03	$912.01
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $208.93 / $398.11	Professional		$190.55	$208.93	$398.11