Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $204.17 / $223.87	Facility		$199.53	$204.17	$223.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $120.23 / $398.11	Professional		$77.62	$120.23	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $204.17 / $295.12	Professional		$123.03	$204.17	$295.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $177.83 / $223.87	Professional		$144.54	$177.83	$223.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $144.54 / $257.04	Facility		$85.11	$144.54	$257.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $190.55 / $281.84	Professional		$125.89	$190.55	$281.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $177.83 / $213.80	Facility		$144.54	$177.83	$213.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $131.83 / $229.09	Facility		$75.86	$131.83	$229.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $204.17 / $275.42	Professional		$79.43	$204.17	$275.42
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $208.93 / $288.40	Professional		$158.49	$208.93	$288.40
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $204.17 / $302.00	Professional		$114.82	$204.17	$302.00