Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $249.96 / $265.92 / $290.01	Facility		$249.96	$265.92	$290.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.14 / $120.43 / $316.45	Professional		$79.14	$120.43	$316.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.31 / $636.79 / $835.09	Facility		$110.31	$636.79	$835.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.51 / $208.43 / $330.71	Professional		$101.51	$208.43	$330.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $223.62 / $266.52 / $310.10	Professional		$223.62	$266.52	$310.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $99.20 / $196.50 / $282.31	Facility		$99.20	$196.50	$282.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $154.38 / $191.89 / $359.65	Professional		$154.38	$191.89	$359.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $137.18 / $192.96 / $232.49	Facility		$137.18	$192.96	$232.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $114.50 / $241.83 / $363.59	Facility		$114.50	$241.83	$363.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $162.56 / $242.53 / $336.59	Professional		$162.56	$242.53	$336.59
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $656.85 / $782.93 / $962.78	Facility		$656.85	$782.93	$962.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $187.27 / $237.70 / $329.27	Professional		$187.27	$237.70	$329.27
United Facility/Professional Professional Modifier Low / Median / High Price $94.75 / $115.51 / $326.10	Professional		$94.75	$115.51	$326.10