Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.41 / $172.94 / $210.36	Facility		$124.41	$172.94	$210.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.04 / $123.01 / $387.80	Professional		$70.04	$123.01	$387.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.81 / $110.81 / $110.81	Facility		$110.81	$110.81	$110.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.55 / $195.25 / $298.88	Professional		$109.55	$195.25	$298.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $157.62 / $212.45 / $281.04	Professional		$157.62	$212.45	$281.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $89.70 / $163.18 / $266.49	Facility		$89.70	$163.18	$266.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $126.99 / $182.54 / $273.81	Professional		$126.99	$182.54	$273.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $132.66 / $215.54 / $228.47	Facility		$132.66	$215.54	$228.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $92.43 / $163.18 / $289.18	Facility		$92.43	$163.18	$289.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $154.97 / $213.13 / $289.52	Professional		$154.97	$213.13	$289.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $202.51 / $347.51 / $465.89	Facility		$202.51	$347.51	$465.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $143.91 / $206.12 / $303.64	Professional		$143.91	$206.12	$303.64
United Facility/Professional Professional Modifier Low / Median / High Price $150.41 / $224.41 / $346.84	Professional		$150.41	$224.41	$346.84