Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $181.97	Facility		$177.83	$177.83	$181.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $154.88 / $199.53	Professional		$112.20	$154.88	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Professional		$141.25	$141.25	$141.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $380.19 / $446.68	Professional		$177.83	$380.19	$446.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $257.04 / $389.05	Facility		$151.36	$257.04	$389.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $138.04 / $186.21	Professional		$117.49	$138.04	$186.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $346.74 / $346.74	Facility		$281.84	$346.74	$346.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $181.97 / $257.04	Facility		$151.36	$181.97	$257.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $151.36 / $416.87	Professional		$79.43	$151.36	$416.87
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $380.19 / $691.83	Facility		$234.42	$380.19	$691.83
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $251.19 / $446.68	Professional		$169.82	$251.19	$446.68