Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $269.15 / $645.65	Facility		$177.83	$269.15	$645.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $123.03 / $223.87	Professional		$100.00	$123.03	$223.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $380.19 / $446.68	Facility		$234.42	$380.19	$446.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $158.49 / $281.84	Professional		$83.18	$158.49	$281.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $309.03 / $380.19	Professional		$144.54	$309.03	$380.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $144.54 / $331.13	Facility		$144.54	$144.54	$331.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $169.82 / $208.93	Professional		$144.54	$169.82	$208.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $144.54 / $275.42	Facility		$144.54	$144.54	$275.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $208.93 / $426.58	Facility		$134.90	$208.93	$426.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $162.18 / $229.09	Professional		$79.43	$162.18	$229.09
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $436.52 / $602.56	Facility		$218.78	$436.52	$602.56
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $123.03 / $173.78	Professional		$117.49	$123.03	$173.78
United Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $229.09	Facility		$173.78	$173.78	$229.09
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $102.33 / $288.40	Professional		$87.10	$102.33	$288.40