Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.47 / $206.65 / $246.61	Facility		$115.47	$206.65	$246.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.88 / $131.75 / $386.69	Professional		$92.88	$131.75	$386.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $113.69 / $113.69 / $113.69	Facility		$113.69	$113.69	$113.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.63 / $220.05 / $312.80	Professional		$131.63	$220.05	$312.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $155.19 / $209.74 / $234.73	Professional		$155.19	$209.74	$234.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $101.26 / $207.78 / $297.13	Facility		$101.26	$207.78	$297.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $158.52 / $201.50 / $315.11	Professional		$158.52	$201.50	$315.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $156.97 / $195.09 / $220.43	Facility		$156.97	$195.09	$220.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $101.26 / $219.42 / $297.13	Facility		$101.26	$219.42	$297.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $169.37 / $234.08 / $290.44	Professional		$169.37	$234.08	$290.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $201.88 / $305.24 / $409.56	Facility		$201.88	$305.24	$409.56
United Facility/Professional Professional Modifier Low / Median / High Price $140.41 / $215.14 / $314.93	Professional		$140.41	$215.14	$314.93