Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.63 / $232.26 / $442.74	Facility		$147.63	$232.26	$442.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.71 / $103.88 / $138.35	Professional		$92.71	$103.88	$138.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $231.78 / $231.78 / $414.41	Facility		$231.78	$231.78	$414.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.93 / $155.19 / $257.52	Professional		$66.93	$155.19	$257.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $142.63 / $313.20 / $375.32	Professional		$142.63	$313.20	$375.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $105.55 / $149.76 / $361.05	Facility		$105.55	$149.76	$361.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $142.63 / $156.88 / $192.55	Professional		$142.63	$156.88	$192.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $142.63 / $142.63 / $270.00	Facility		$142.63	$142.63	$270.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $149.76 / $180.43 / $361.05	Facility		$149.76	$180.43	$361.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $155.19 / $163.96 / $205.39	Professional		$155.19	$163.96	$205.39
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $278.13 / $434.02 / $589.26	Facility		$278.13	$434.02	$589.26
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $251.97 / $278.82 / $448.70	Professional		$251.97	$278.82	$448.70
United Facility/Professional Professional Modifier Low / Median / High Price $59.90 / $59.90 / $149.76	Professional		$59.90	$59.90	$149.76