Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $268.54 / $364.00 / $532.00	Facility		$268.54	$364.00	$532.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.30 / $179.64 / $312.45	Professional		$96.30	$179.64	$312.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $300.95 / $300.95 / $538.10	Facility		$300.95	$300.95	$538.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.90 / $201.48 / $334.34	Professional		$86.90	$201.48	$334.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $185.20 / $406.95 / $487.68	Professional		$185.20	$406.95	$487.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $138.90 / $194.46 / $407.44	Facility		$138.90	$194.46	$407.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $185.20 / $203.72 / $250.02	Professional		$185.20	$203.72	$250.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $185.20 / $185.20 / $352.57	Facility		$185.20	$185.20	$352.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $194.46 / $234.28 / $468.12	Facility		$194.46	$234.28	$468.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $201.48 / $212.91 / $266.69	Professional		$201.48	$212.91	$266.69
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $361.14 / $563.55 / $765.14	Facility		$361.14	$563.55	$765.14
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $327.38 / $361.98 / $582.99	Professional		$327.38	$361.98	$582.99
United Facility/Professional Professional Modifier Low / Median / High Price $77.78 / $77.78 / $222.24	Professional		$77.78	$77.78	$222.24