Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $235.71 / $273.43 / $528.00	Facility		$235.71	$273.43	$528.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.80 / $194.73 / $367.71	Professional		$159.80	$194.73	$367.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $306.43 / $471.89 / $645.48	Facility		$306.43	$471.89	$645.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.98 / $234.11 / $370.05	Professional		$120.98	$234.11	$370.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $188.57 / $414.06 / $496.17	Professional		$188.57	$414.06	$496.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $169.71 / $333.60 / $600.09	Facility		$169.71	$333.60	$600.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $188.57 / $226.28 / $303.58	Professional		$188.57	$226.28	$303.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $188.57 / $216.86 / $447.93	Facility		$188.57	$216.86	$447.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $216.86 / $254.57 / $546.85	Facility		$216.86	$254.57	$546.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $207.43 / $234.11 / $296.08	Professional		$207.43	$234.11	$296.08
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $367.71 / $573.82 / $779.06	Facility		$367.71	$573.82	$779.06
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $332.77 / $370.87 / $592.58	Professional		$332.77	$370.87	$592.58
United Facility/Professional Facility Modifier Low / Median / High Price $226.28 / $226.28 / $226.28	Facility		$226.28	$226.28	$226.28
United Facility/Professional Professional Modifier Low / Median / High Price $113.14 / $146.78 / $435.77	Professional		$113.14	$146.78	$435.77