Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.00 / $226.10 / $371.00	Professional		$171.00	$226.10	$371.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $223.70 / $263.64 / $652.41	Facility		$223.70	$263.64	$652.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $315.48 / $315.48 / $935.47	Professional		$315.48	$315.48	$935.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $395.21 / $469.52 / $543.14	Professional		$395.21	$469.52	$543.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $217.07 / $371.00 / $578.57	Facility		$217.07	$371.00	$578.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $151.18 / $220.26 / $395.21	Facility		$151.18	$220.26	$395.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $200.69 / $371.00 / $636.79	Facility		$200.69	$371.00	$636.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $271.35 / $315.48 / $898.50	Professional		$271.35	$315.48	$898.50
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $637.02 / $836.00 / $970.46	Facility		$637.02	$836.00	$970.46
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $324.36 / $443.50 / $567.54	Professional		$324.36	$443.50	$567.54
United Facility/Professional Professional Modifier Low / Median / High Price $199.74 / $284.81 / $671.97	Professional		$199.74	$284.81	$671.97