Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $288.40 / $346.74	Professional		$213.80	$288.40	$346.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Professional		$234.42	$234.42	$234.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $245.47 / $831.76	Professional		$229.09	$245.47	$831.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $346.74 / $363.08	Facility		$346.74	$346.74	$363.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $346.74 / $501.19	Professional		$213.80	$346.74	$501.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $562.34 / $562.34	Facility		$467.74	$562.34	$562.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $331.13 / $467.74	Facility		$229.09	$331.13	$467.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $251.19 / $602.56	Professional		$79.43	$251.19	$602.56
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $467.74 / $478.63	Professional		$446.68	$467.74	$478.63
United Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $575.44 / $831.76	Professional		$295.12	$575.44	$831.76