Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.18 / $303.51 / $586.10	Facility		$251.18	$303.51	$586.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.85 / $203.04 / $716.15	Professional		$157.85	$203.04	$716.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $340.15 / $523.83 / $608.19	Facility		$340.15	$523.83	$608.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.20 / $220.45 / $375.39	Professional		$87.20	$220.45	$375.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $209.32 / $510.35 / $550.65	Professional		$209.32	$510.35	$550.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $104.66 / $209.32 / $436.54	Facility		$104.66	$209.32	$436.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $181.44 / $209.32 / $265.51	Professional		$181.44	$209.32	$265.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $209.32 / $235.75 / $462.07	Facility		$209.32	$235.75	$462.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $104.66 / $251.18 / $471.14	Facility		$104.66	$251.18	$471.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $170.60 / $230.25 / $293.05	Professional		$170.60	$230.25	$293.05
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $408.17 / $636.96 / $864.78	Facility		$408.17	$636.96	$864.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $135.02 / $190.48 / $516.09	Professional		$135.02	$190.48	$516.09
United Facility/Professional Professional Modifier Low / Median / High Price $75.42 / $87.91 / $251.18	Professional		$75.42	$87.91	$251.18