Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $323.59 / $933.25	Facility		$263.03	$323.59	$933.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $165.96 / $323.59	Professional		$120.23	$165.96	$323.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $467.74 / $602.56	Facility		$338.84	$467.74	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $208.93 / $371.54	Professional		$79.43	$208.93	$371.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $457.09 / $537.03	Professional		$208.93	$457.09	$537.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $251.19	Facility		$208.93	$208.93	$251.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $218.78 / $281.84	Professional		$177.83	$218.78	$281.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $398.11	Facility		$208.93	$208.93	$398.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $288.40 / $616.60	Facility		$128.82	$288.40	$616.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $229.09 / $295.12	Professional		$79.43	$229.09	$295.12
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $630.96 / $870.96	Facility		$316.23	$630.96	$870.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $177.83 / $251.19	Professional		$134.90	$177.83	$251.19
United Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $331.13	Facility		$251.19	$251.19	$331.13
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $87.10 / $251.19	Professional		$75.86	$87.10	$251.19