Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $147.91 / $239.88	Professional		$112.20	$147.91	$239.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Facility		$97.72	$97.72	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $125.89 / $213.80	Professional		$72.44	$125.89	$213.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $281.84 / $398.11	Professional		$141.25	$281.84	$398.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $218.78 / $436.52	Facility		$112.20	$218.78	$436.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $316.23 / $630.96	Professional		$208.93	$316.23	$630.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $251.19 / $331.13	Facility		$208.93	$251.19	$331.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $223.87 / $436.52	Facility		$123.03	$223.87	$436.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $269.15 / $416.87	Professional		$123.03	$269.15	$416.87
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $676.08	Facility		$645.65	$645.65	$676.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $275.42 / $407.38	Professional		$151.36	$275.42	$407.38
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $147.91 / $436.52	Professional		$83.18	$147.91	$436.52