Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $208.93 / $251.19	Facility		$112.20	$208.93	$251.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $128.82 / $380.19	Professional		$85.11	$128.82	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $223.87 / $331.13	Professional		$134.90	$223.87	$331.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $208.93 / $251.19	Professional		$162.18	$208.93	$251.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $173.78 / $295.12	Facility		$100.00	$173.78	$295.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $186.21 / $295.12	Professional		$107.15	$186.21	$295.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $194.98 / $218.78	Facility		$162.18	$194.98	$218.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $158.49 / $251.19	Facility		$97.72	$158.49	$251.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $218.78 / $295.12	Professional		$79.43	$218.78	$295.12
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $263.03 / $407.38	Facility		$147.91	$263.03	$407.38
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $208.93 / $316.23	Professional		$123.03	$208.93	$316.23