Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $272.58 / $316.19 / $610.57	Facility		$272.58	$316.19	$610.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $185.35 / $249.36 / $425.22	Professional		$185.35	$249.36	$425.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $354.35 / $545.70 / $766.35	Facility		$354.35	$545.70	$766.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.07 / $277.75 / $427.87	Professional		$141.07	$277.75	$427.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $218.06 / $478.68 / $573.62	Professional		$218.06	$478.68	$573.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $163.55 / $261.67 / $640.04	Facility		$163.55	$261.67	$640.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $218.06 / $237.14 / $294.38	Professional		$218.06	$237.14	$294.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $218.06 / $228.96 / $481.37	Facility		$218.06	$228.96	$481.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $228.96 / $276.94 / $632.37	Facility		$228.96	$276.94	$632.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $239.87 / $268.64 / $342.34	Professional		$239.87	$268.64	$342.34
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 $384.84 / $428.72 / $685.31	Professional		$384.84	$428.72	$685.31
United Facility/Professional Professional Modifier Low / Median / High Price $91.59 / $91.59 / $261.67	Professional		$91.59	$91.59	$261.67