Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.59 / $137.93 / $813.26	Professional		$91.59	$137.93	$813.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.47 / $166.47 / $166.47	Facility		$166.47	$166.47	$166.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.52 / $121.52 / $166.47	Professional		$121.52	$121.52	$166.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $158.76 / $447.44 / $583.55	Professional		$158.76	$447.44	$583.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $137.93 / $188.96 / $226.80	Facility		$137.93	$188.96	$226.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $168.63 / $213.19 / $238.14	Professional		$168.63	$213.19	$238.14
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $180.03 / $226.80 / $249.48	Facility		$180.03	$226.80	$249.48
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $204.12 / $226.80 / $249.48	Professional		$204.12	$226.80	$249.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $137.93 / $197.24 / $238.14	Facility		$137.93	$197.24	$238.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $121.52 / $198.59 / $249.48	Professional		$121.52	$198.59	$249.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $188.95 / $377.14 / $795.67	Facility		$188.95	$377.14	$795.67
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $195.05 / $249.48 / $249.48	Professional		$195.05	$249.48	$249.48
United Facility/Professional Professional Modifier Low / Median / High Price $100.76 / $105.47 / $201.22	Professional		$100.76	$105.47	$201.22