Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $206.62 / $256.19 / $413.18	Facility		$206.62	$256.19	$413.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.59 / $208.65 / $457.16	Professional		$206.59	$208.65	$457.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.90 / $285.35 / $403.14	Facility		$194.90	$285.35	$403.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $206.59 / $206.59 / $224.13	Professional		$206.59	$206.59	$224.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $203.80 / $453.83 / $530.23	Professional		$203.80	$453.83	$530.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $201.60 / $262.25 / $444.17	Facility		$201.60	$262.25	$444.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $206.59 / $218.98 / $268.57	Professional		$206.59	$218.98	$268.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $206.59 / $258.24 / $429.77	Facility		$206.59	$258.24	$429.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $204.51 / $218.76 / $295.42	Facility		$204.51	$218.76	$295.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $173.90 / $224.14 / $252.46	Professional		$173.90	$224.14	$252.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $206.59 / $221.72 / $575.38	Facility		$206.59	$221.72	$575.38
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $206.59 / $206.59 / $206.59	Professional		$206.59	$206.59	$206.59
United Facility/Professional Professional Modifier Low / Median / High Price $206.59 / $206.59 / $206.59	Professional		$206.59	$206.59	$206.59