Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $179.43 / $192.04 / $219.58	Facility		$179.43	$192.04	$219.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.59 / $102.05 / $368.00	Professional		$87.59	$102.05	$368.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.74 / $187.22 / $258.55	Professional		$102.74	$187.22	$258.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $166.23 / $193.72 / $231.46	Professional		$166.23	$193.72	$231.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $89.15 / $164.93 / $237.33	Facility		$89.15	$164.93	$237.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $138.24 / $155.16 / $269.39	Professional		$138.24	$155.16	$269.39
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $128.88 / $171.33 / $193.63	Facility		$128.88	$171.33	$193.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $106.72 / $211.19 / $270.27	Facility		$106.72	$211.19	$270.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $156.43 / $193.88 / $255.65	Professional		$156.43	$193.88	$255.65
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $163.54 / $210.83 / $251.09	Professional		$163.54	$210.83	$251.09
United Facility/Professional Professional Modifier Low / Median / High Price $93.47 / $112.16 / $267.70	Professional		$93.47	$112.16	$267.70