Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $158.49 / $371.54	Facility		$154.88	$158.49	$371.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $154.88 / $158.49	Professional		$147.91	$154.88	$158.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $316.23 / $316.23	Facility		$316.23	$316.23	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Professional		$158.49	$158.49	$158.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $107.15 / $114.82	Professional		$44.67	$107.15	$114.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $67.61 / $331.13	Facility		$60.26	$67.61	$331.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $61.66 / $158.49	Professional		$60.26	$61.66	$158.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $54.95 / $338.84	Facility		$47.86	$54.95	$338.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $204.17 / $457.09	Facility		$154.88	$204.17	$457.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $162.18 / $162.18	Professional		$72.44	$162.18	$162.18
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $257.04 / $478.63	Facility		$107.15	$257.04	$478.63
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $158.49 / $158.49	Professional		$154.88	$158.49	$158.49