Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $155.80 / $180.73 / $348.99	Facility		$155.80	$180.73	$348.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.74 / $120.90 / $350.00	Professional		$89.74	$120.90	$350.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $202.55 / $217.74 / $362.16	Facility		$202.55	$217.74	$362.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.60 / $132.41 / $223.82	Professional		$38.60	$132.41	$223.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $124.64 / $273.43 / $327.66	Professional		$124.64	$273.43	$327.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $92.23 / $120.90 / $259.94	Facility		$92.23	$120.90	$259.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $124.64 / $124.64 / $168.26	Professional		$124.64	$124.64	$168.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $124.64 / $130.87 / $275.14	Facility		$124.64	$130.87	$275.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $120.90 / $157.66 / $274.20	Facility		$120.90	$157.66	$274.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $116.33 / $137.10 / $179.48	Professional		$116.33	$137.10	$179.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $243.05 / $379.28 / $489.32	Facility		$243.05	$379.28	$489.32
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $220.25 / $244.98 / $392.21	Professional		$220.25	$244.98	$392.21
United Facility/Professional Professional Modifier Low / Median / High Price $34.86 / $52.35 / $130.87	Professional		$34.86	$52.35	$130.87