Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $259.33 / $300.82 / $580.89	Facility		$259.33	$300.82	$580.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.34 / $201.24 / $785.17	Professional		$176.34	$201.24	$785.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $337.13 / $519.16 / $744.90	Facility		$337.13	$519.16	$744.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.08 / $269.77 / $372.45	Professional		$182.08	$269.77	$372.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $207.46 / $455.25 / $545.54	Professional		$207.46	$455.25	$545.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $155.60 / $217.83 / $456.41	Facility		$155.60	$217.83	$456.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $207.46 / $228.21 / $282.60	Professional		$207.46	$228.21	$282.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $207.46 / $217.83 / $457.97	Facility		$207.46	$217.83	$457.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $217.83 / $262.44 / $601.63	Facility		$217.83	$262.44	$601.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $228.21 / $256.83 / $331.93	Professional		$228.21	$256.83	$331.93
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $404.55 / $640.29 / $857.10	Facility		$404.55	$640.29	$857.10
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $366.28 / $407.62 / $652.27	Professional		$366.28	$407.62	$652.27
United Facility/Professional Professional Modifier Low / Median / High Price $87.13 / $87.13 / $248.95	Professional		$87.13	$87.13	$248.95