Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $161.96 / $193.65 / $331.66	Facility		$161.96	$193.65	$331.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.57 / $167.49 / $293.27	Professional		$163.57	$167.49	$293.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $155.97 / $264.85 / $326.74	Facility		$155.97	$264.85	$326.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.83 / $165.83 / $179.91	Professional		$165.83	$165.83	$179.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $159.79 / $355.82 / $412.19	Professional		$159.79	$355.82	$412.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $165.83 / $237.14 / $356.53	Facility		$165.83	$237.14	$356.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $165.83 / $175.78 / $215.58	Professional		$165.83	$175.78	$215.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $161.94 / $190.86 / $485.88	Facility		$161.94	$190.86	$485.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $156.44 / $237.14 / $356.53	Facility		$156.44	$237.14	$356.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $165.83 / $186.20 / $196.34	Professional		$165.83	$186.20	$196.34
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $95.24 / $192.74 / $450.79	Facility		$95.24	$192.74	$450.79
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $165.83 / $165.83 / $165.83	Professional		$165.83	$165.83	$165.83
United Facility/Professional Professional Modifier Low / Median / High Price $165.83 / $165.83 / $165.83	Professional		$165.83	$165.83	$165.83