Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.25 / $212.18 / $339.90	Facility		$140.25	$212.18	$339.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.16 / $153.00 / $310.36	Professional		$115.16	$153.00	$310.36
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $283.00 / $283.00 / $283.00	Professional	25	$283.00	$283.00	$283.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $200.00 / $246.37	Facility		$200.00	$200.00	$246.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.09 / $173.61 / $400.52	Professional		$102.09	$173.61	$400.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $213.41 / $306.97 / $409.29	Professional		$213.41	$306.97	$409.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $140.78 / $191.10 / $315.35	Facility		$140.78	$191.10	$315.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $183.60 / $250.20 / $413.10	Professional		$183.60	$250.20	$413.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $181.00 / $275.16 / $346.39	Facility		$181.00	$275.16	$346.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $141.41 / $189.98 / $316.64	Facility		$141.41	$189.98	$316.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $140.18 / $230.36 / $407.91	Professional		$140.18	$230.36	$407.91
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $141.76 / $141.76 / $141.76	Facility		$141.76	$141.76	$141.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $169.06 / $243.20 / $380.54	Professional		$169.06	$243.20	$380.54
United Facility/Professional Professional Modifier Low / Median / High Price $130.04 / $231.34 / $433.00	Professional		$130.04	$231.34	$433.00