Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.59 / $126.93 / $587.71	Professional		$89.59	$126.93	$587.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.05 / $147.05 / $147.05	Facility		$147.05	$147.05	$147.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.35 / $107.35 / $107.35	Professional		$107.35	$107.35	$107.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $148.12 / $397.71 / $518.73	Professional		$148.12	$397.71	$518.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $126.93 / $173.89 / $211.60	Facility		$126.93	$173.89	$211.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $157.34 / $198.90 / $222.18	Professional		$157.34	$198.90	$222.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $167.98 / $206.64 / $232.13	Facility		$167.98	$206.64	$232.13
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $190.44 / $211.60 / $211.60	Professional		$190.44	$211.60	$211.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $125.49 / $181.51 / $222.18	Facility		$125.49	$181.51	$222.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $107.35 / $185.28 / $232.76	Professional		$107.35	$185.28	$232.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $176.29 / $351.88 / $742.34	Facility		$176.29	$351.88	$742.34
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $181.98 / $232.76 / $232.76	Professional		$181.98	$232.76	$232.76
United Facility/Professional Professional Modifier Low / Median / High Price $88.11 / $93.61 / $178.59	Professional		$88.11	$93.61	$178.59