Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.12 / $201.00 / $300.10	Facility		$123.12	$201.00	$300.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.77 / $123.13 / $337.30	Professional		$83.77	$123.13	$337.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.36 / $135.36 / $135.36	Facility		$135.36	$135.36	$135.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.94 / $216.21 / $306.85	Professional		$111.94	$216.21	$306.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $183.46 / $248.22 / $277.47	Professional		$183.46	$248.22	$277.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $117.56 / $185.00 / $268.73	Facility		$117.56	$185.00	$268.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $151.47 / $188.80 / $373.46	Professional		$151.47	$188.80	$373.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $137.71 / $196.31 / $235.84	Facility		$137.71	$196.31	$235.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $117.56 / $211.26 / $302.05	Facility		$117.56	$211.26	$302.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $156.88 / $230.88 / $300.99	Professional		$156.88	$230.88	$300.99
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $186.24 / $275.44 / $369.25	Professional		$186.24	$275.44	$369.25
United Facility/Professional Professional Modifier Low / Median / High Price $135.24 / $194.62 / $364.66	Professional		$135.24	$194.62	$364.66