Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.10 / $199.55 / $429.80	Facility		$131.10	$199.55	$429.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.90 / $157.34 / $175.00	Professional		$148.90	$157.34	$175.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $249.45 / $384.15 / $446.02	Facility		$249.45	$384.15	$446.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.80 / $176.76 / $275.52	Professional		$89.80	$176.76	$275.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $153.50 / $374.67 / $404.26	Professional		$153.50	$374.67	$404.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $76.75 / $159.71 / $320.14	Facility		$76.75	$159.71	$320.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $153.50 / $153.50 / $208.76	Professional		$153.50	$153.50	$208.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $153.50 / $168.85 / $338.85	Facility		$153.50	$168.85	$338.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $159.71 / $184.20 / $384.15	Facility		$159.71	$184.20	$384.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $145.83 / $168.85 / $219.51	Professional		$145.83	$168.85	$219.51
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $299.33 / $467.10 / $602.63	Facility		$299.33	$467.10	$602.63
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $137.59 / $199.55 / $378.25	Professional		$137.59	$199.55	$378.25
United Facility/Professional Professional Modifier Low / Median / High Price $64.47 / $64.47 / $184.20	Professional		$64.47	$64.47	$184.20