Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $134.90 / $234.42	Professional		$109.65	$134.90	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $234.42 / $371.54	Professional		$128.82	$234.42	$371.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $288.40 / $331.13	Professional		$229.09	$288.40	$331.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $234.42 / $323.59	Professional		$154.88	$234.42	$323.59
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Professional		$81.28	$81.28	$81.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $263.03 / $371.54	Professional		$173.78	$263.03	$371.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $269.15 / $346.74	Professional		$190.55	$269.15	$346.74
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $251.19 / $389.05	Professional		$128.82	$251.19	$389.05