Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Facility		$147.91	$147.91	$147.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $151.36 / $234.42	Professional		$141.25	$151.36	$234.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $331.13	Facility		$331.13	$331.13	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Professional		$165.96	$165.96	$165.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $162.18 / $173.78	Professional		$67.61	$162.18	$173.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $154.88 / $213.80	Facility		$154.88	$154.88	$213.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $154.88 / $257.04	Professional		$147.91	$154.88	$257.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $128.82 / $128.82	Facility		$107.15	$128.82	$128.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $194.98 / $436.52	Facility		$151.36	$194.98	$436.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $93.33 / $173.78	Professional		$79.43	$93.33	$173.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Facility		$380.19	$380.19	$380.19
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $177.83 / $186.21	Professional		$165.96	$177.83	$186.21