Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.10 / $277.63 / $961.47	Professional		$125.10	$277.63	$961.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.00 / $153.00 / $153.00	Professional		$153.00	$153.00	$153.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $317.02 / $705.95 / $845.97	Professional		$317.02	$705.95	$845.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $91.27 / $333.24 / $397.01	Facility		$91.27	$333.24	$397.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $316.58 / $325.43 / $353.23	Professional		$316.58	$325.43	$353.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $299.92 / $325.43 / $433.21	Facility		$299.92	$325.43	$433.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $5.64 / $10.48 / $397.01	Facility		$5.64	$10.48	$397.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $5.64 / $153.00 / $366.56	Professional		$5.64	$153.00	$366.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $471.27 / $901.48 / $1,298.94	Facility		$471.27	$901.48	$1,298.94
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $253.26 / $253.26 / $266.58	Professional		$253.26	$253.26	$266.58
United Facility/Professional Professional Modifier Low / Median / High Price $195.26 / $487.71 / $852.30	Professional		$195.26	$487.71	$852.30