Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.08 / $193.73 / $841.20	Professional		$124.08	$193.73	$841.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.54 / $170.54 / $170.54	Facility		$170.54	$170.54	$170.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.49 / $124.49 / $170.54	Professional		$124.49	$124.49	$170.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $222.98 / $578.11 / $754.01	Professional		$222.98	$578.11	$754.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $193.73 / $265.41 / $318.54	Facility		$193.73	$265.41	$318.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $236.85 / $299.43 / $334.47	Professional		$236.85	$299.43	$334.47
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $266.54 / $311.07 / $350.39	Facility		$266.54	$311.07	$350.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $170.54 / $273.58 / $334.47	Facility		$170.54	$273.58	$334.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $124.49 / $278.92 / $350.39	Professional		$124.49	$278.92	$350.39
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $265.39 / $529.72 / $1,117.52	Facility		$265.39	$529.72	$1,117.52
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $273.94 / $350.39 / $350.39	Professional		$273.94	$350.39	$350.39
United Facility/Professional Professional Modifier Low / Median / High Price $130.09 / $136.16 / $259.77	Professional		$130.09	$136.16	$259.77