Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $363.08 / $457.09	Facility		$316.23	$363.08	$457.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $131.83 / $229.09	Professional		$104.71	$131.83	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $199.53 / $338.84	Professional		$107.15	$199.53	$338.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $269.15 / $363.08	Professional		$190.55	$269.15	$363.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $162.18 / $275.42	Facility		$125.89	$162.18	$275.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $234.42 / $346.74	Professional		$120.23	$234.42	$346.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $251.19 / $295.12	Facility		$181.97	$251.19	$295.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $158.49 / $251.19	Facility		$125.89	$158.49	$251.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $204.17 / $346.74	Professional		$79.43	$204.17	$346.74
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $194.98 / $309.03	Professional		$138.04	$194.98	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $213.80 / $354.81	Professional		$114.82	$213.80	$354.81