Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $261.67 / $287.76 / $610.57	Facility		$261.67	$287.76	$610.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.99 / $196.25 / $211.52	Professional		$180.99	$196.25	$211.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $354.35 / $545.70 / $633.58	Facility		$354.35	$545.70	$633.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.11 / $250.69 / $391.25	Professional		$122.11	$250.69	$391.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $218.06 / $531.64 / $573.62	Professional		$218.06	$531.64	$573.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $113.39 / $218.06 / $454.77	Facility		$113.39	$218.06	$454.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $218.06 / $250.77 / $294.38	Professional		$218.06	$250.77	$294.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $218.06 / $239.87 / $327.08	Facility		$218.06	$239.87	$327.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $113.39 / $261.67 / $556.10	Facility		$113.39	$261.67	$556.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $207.16 / $239.87 / $305.27	Professional		$207.16	$239.87	$305.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $425.22 / $663.56 / $900.89	Facility		$425.22	$663.56	$900.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $195.23 / $260.31 / $537.42	Professional		$195.23	$260.31	$537.42
United Facility/Professional Facility Modifier Low / Median / High Price $98.13 / $98.13 / $218.06	Facility		$98.13	$98.13	$218.06
United Facility/Professional Professional Modifier Low / Median / High Price $91.59 / $91.59 / $261.67	Professional		$91.59	$91.59	$261.67