Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $182.40 / $344.85 / $463.43	Facility		$182.40	$344.85	$463.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.28 / $140.68 / $322.74	Professional		$79.28	$140.68	$322.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $268.95 / $414.18 / $480.88	Facility		$268.95	$414.18	$480.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.05 / $182.67 / $296.67	Professional		$145.05	$182.67	$296.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $165.51 / $363.64 / $435.74	Professional		$165.51	$363.64	$435.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $124.13 / $173.79 / $364.12	Facility		$124.13	$173.79	$364.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $165.51 / $182.06 / $223.44	Professional		$165.51	$182.06	$223.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $165.51 / $173.79 / $365.36	Facility		$165.51	$173.79	$365.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $173.79 / $209.37 / $414.18	Facility		$173.79	$209.37	$414.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $174.54 / $190.34 / $238.33	Professional		$174.54	$190.34	$238.33
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $322.74 / $503.65 / $683.79	Facility		$322.74	$503.65	$683.79
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $292.07 / $325.27 / $520.11	Professional		$292.07	$325.27	$520.11
United Facility/Professional Facility Modifier Low / Median / High Price $248.27 / $248.27 / $264.82	Facility		$248.27	$248.27	$264.82
United Facility/Professional Professional Modifier Low / Median / High Price $69.51 / $69.51 / $173.79	Professional		$69.51	$69.51	$173.79