Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $408.73 / $408.73 / $713.23	Facility		$408.73	$408.73	$713.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.37 / $159.04 / $172.06	Professional		$139.37	$159.04	$172.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $266.43 / $410.29 / $526.75	Facility		$266.43	$410.29	$526.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.58 / $106.58 / $106.58	Professional		$106.58	$106.58	$106.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $163.96 / $360.08 / $431.50	Professional		$163.96	$360.08	$431.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $122.97 / $159.04 / $360.71	Facility		$122.97	$159.04	$360.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $163.96 / $180.36 / $229.54	Professional		$163.96	$180.36	$229.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $163.96 / $183.64 / $286.93	Facility		$163.96	$183.64	$286.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $159.04 / $217.25 / $475.48	Facility		$159.04	$217.25	$475.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $180.36 / $196.75 / $255.05	Professional		$180.36	$196.75	$255.05
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $319.72 / $506.05 / $677.38	Facility		$319.72	$506.05	$677.38
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $262.08 / $322.56 / $515.85	Professional		$262.08	$322.56	$515.85
United Facility/Professional Professional Modifier Low / Median / High Price $68.86 / $68.86 / $172.16	Professional		$68.86	$68.86	$172.16