Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.60 / $181.98 / $351.40	Facility		$150.60	$181.98	$351.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.05 / $121.74 / $181.98	Professional		$90.05	$121.74	$181.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $203.95 / $330.40 / $446.32	Facility		$203.95	$330.40	$446.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.02 / $144.13 / $225.00	Professional		$68.02	$144.13	$225.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $125.50 / $306.06 / $330.21	Professional		$125.50	$306.06	$330.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $91.40 / $140.19 / $365.20	Facility		$91.40	$140.19	$365.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $125.50 / $150.60 / $206.58	Professional		$125.50	$150.60	$206.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $125.50 / $169.43 / $277.04	Facility		$125.50	$169.43	$277.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $91.40 / $151.86 / $363.95	Facility		$91.40	$151.86	$363.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $125.50 / $150.60 / $205.45	Professional		$125.50	$150.60	$205.45
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $244.73 / $387.35 / $518.49	Facility		$244.73	$387.35	$518.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $112.39 / $159.97 / $309.33	Professional		$112.39	$159.97	$309.33
United Facility/Professional Professional Modifier Low / Median / High Price $52.71 / $71.73 / $150.60	Professional		$52.71	$71.73	$150.60