Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.15 / $380.46 / $459.09	Facility		$213.15	$380.46	$459.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.31 / $123.30 / $237.74	Professional		$97.31	$123.30	$237.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $266.43 / $410.29 / $588.72	Facility		$266.43	$410.29	$588.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.83 / $213.24 / $294.32	Professional		$143.83	$213.24	$294.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $163.96 / $360.08 / $431.50	Professional		$163.96	$360.08	$431.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $122.97 / $172.16 / $360.71	Facility		$122.97	$172.16	$360.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $163.96 / $180.36 / $223.35	Professional		$163.96	$180.36	$223.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $163.96 / $172.16 / $361.94	Facility		$163.96	$172.16	$361.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $172.16 / $207.41 / $475.48	Facility		$172.16	$207.41	$475.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $180.36 / $202.00 / $262.33	Professional		$180.36	$202.00	$262.33
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $319.72 / $506.05 / $677.38	Facility		$319.72	$506.05	$677.38
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $289.67 / $322.56 / $515.85	Professional		$289.67	$322.56	$515.85
United Facility/Professional Professional Modifier Low / Median / High Price $68.86 / $68.86 / $196.75	Professional		$68.86	$68.86	$196.75