Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.39 / $141.69 / $188.93	Facility		$122.39	$141.69	$188.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.40 / $115.61 / $185.57	Professional		$72.40	$115.61	$185.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $137.00 / $137.00 / $137.00	Facility		$137.00	$137.00	$137.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.21 / $234.10 / $375.03	Professional		$120.21	$234.10	$375.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $159.54 / $234.08 / $323.94	Professional		$159.54	$234.08	$323.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $85.37 / $136.04 / $259.25	Facility		$85.37	$136.04	$259.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $140.74 / $215.40 / $324.64	Professional		$140.74	$215.40	$324.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $145.72 / $245.10 / $281.39	Facility		$145.72	$245.10	$281.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $85.37 / $135.60 / $259.25	Facility		$85.37	$135.60	$259.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $110.63 / $192.86 / $333.90	Professional		$110.63	$192.86	$333.90
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $149.22 / $221.38 / $329.25	Professional		$149.22	$221.38	$329.25
United Facility/Professional Professional Modifier Low / Median / High Price $183.15 / $243.45 / $436.17	Professional		$183.15	$243.45	$436.17