Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $660.69 / $891.25	Facility		$144.54	$660.69	$891.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $125.89 / $208.93	Professional		$104.71	$125.89	$208.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $323.59 / $575.44	Facility		$323.59	$323.59	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Professional		$97.72	$97.72	$97.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $426.58 / $524.81	Professional		$199.53	$426.58	$524.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $208.93	Facility		$199.53	$199.53	$208.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $208.93 / $269.15	Professional		$141.25	$208.93	$269.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $218.78 / $309.03	Facility		$177.83	$218.78	$309.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $213.80 / $436.52	Facility		$114.82	$213.80	$436.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $162.18 / $223.87	Professional		$79.43	$162.18	$223.87
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $446.68 / $616.60	Facility		$295.12	$446.68	$616.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $169.82 / $239.88	Professional		$154.88	$169.82	$239.88
United Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $316.23	Facility		$239.88	$239.88	$316.23
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $69.18 / $177.83	Professional		$63.10	$69.18	$177.83