Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.48 / $230.30 / $1,322.56	Professional		$171.48	$230.30	$1,322.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $296.00 / $296.00 / $296.00	Facility		$296.00	$296.00	$296.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.08 / $216.08 / $296.00	Professional		$216.08	$216.08	$296.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $283.99 / $801.84 / $1,045.80	Professional		$283.99	$801.84	$1,045.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $230.30 / $320.99 / $389.07	Facility		$230.30	$320.99	$389.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $281.54 / $355.93 / $397.58	Professional		$281.54	$355.93	$397.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $300.56 / $378.65 / $427.28	Facility		$300.56	$378.65	$427.28
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $340.79 / $378.65 / $427.28	Professional		$340.79	$378.65	$427.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $230.30 / $320.99 / $416.52	Facility		$230.30	$320.99	$416.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $216.08 / $331.57 / $416.52	Professional		$216.08	$331.57	$416.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $315.48 / $629.70 / $1,328.47	Facility		$315.48	$629.70	$1,328.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $325.64 / $416.52 / $416.52	Professional		$325.64	$416.52	$416.52
United Facility/Professional Professional Modifier Low / Median / High Price $180.49 / $188.91 / $360.41	Professional		$180.49	$188.91	$360.41