Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,539.53 / $2,539.53 / $2,539.53	Facility		$2,539.53	$2,539.53	$2,539.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.43 / $156.79 / $788.49	Professional		$132.43	$156.79	$788.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $195.78 / $195.78 / $195.78	Facility		$195.78	$195.78	$195.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.41 / $166.41 / $195.78	Professional		$166.41	$166.41	$195.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $187.66 / $502.84 / $655.82	Professional		$187.66	$502.84	$655.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $163.06 / $223.39 / $268.08	Facility		$163.06	$223.39	$268.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $199.34 / $241.28 / $268.08	Professional		$199.34	$241.28	$268.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $241.28 / $261.81 / $294.89	Facility		$241.28	$261.81	$294.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $149.06 / $208.72 / $268.08	Facility		$149.06	$208.72	$268.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $166.41 / $234.76 / $294.89	Professional		$166.41	$234.76	$294.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $233.24 / $294.89 / $294.89	Professional		$233.24	$294.89	$294.89
United Facility/Professional Professional Modifier Low / Median / High Price $113.12 / $118.40 / $226.93	Professional		$113.12	$118.40	$226.93