Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $187.91 / $374.76 / $420.92	Facility		$187.91	$374.76	$420.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.24 / $145.82 / $217.98	Professional		$108.24	$145.82	$217.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $244.28 / $244.28 / $436.76	Facility		$244.28	$244.28	$436.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.53 / $163.54 / $271.38	Professional		$70.53	$163.54	$271.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $150.33 / $330.26 / $395.74	Professional		$150.33	$330.26	$395.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $112.75 / $157.85 / $330.73	Facility		$112.75	$157.85	$330.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $150.33 / $150.33 / $202.95	Professional		$150.33	$150.33	$202.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $150.33 / $165.36 / $225.50	Facility		$150.33	$165.36	$225.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $157.85 / $190.17 / $380.14	Facility		$157.85	$190.17	$380.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $163.54 / $172.88 / $216.48	Professional		$163.54	$172.88	$216.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $293.14 / $457.45 / $621.07	Facility		$293.14	$457.45	$621.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $265.73 / $293.81 / $473.22	Professional		$265.73	$293.81	$473.22
United Facility/Professional Professional Modifier Low / Median / High Price $63.14 / $63.14 / $150.33	Professional		$63.14	$63.14	$150.33