Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.33 / $832.20 / $832.20	Facility		$150.33	$832.20	$832.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.16 / $152.68 / $788.65	Professional		$151.16	$152.68	$788.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $142.61 / $224.06 / $316.66	Facility		$142.61	$224.06	$316.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.16 / $151.16 / $178.26	Professional		$151.16	$151.16	$178.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $252.18 / $348.76 / $452.97	Professional		$252.18	$348.76	$452.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $150.33 / $158.72 / $398.65	Facility		$150.33	$158.72	$398.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $151.16 / $160.22 / $188.96	Professional		$151.16	$160.22	$188.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $150.33 / $187.91 / $453.51	Facility		$150.33	$187.91	$453.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $151.16 / $187.16 / $398.65	Facility		$151.16	$187.16	$398.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $151.16 / $188.73 / $199.83	Professional		$151.16	$188.73	$199.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $143.61 / $151.16 / $151.16	Professional		$143.61	$151.16	$151.16
United Facility/Professional Professional Modifier Low / Median / High Price $151.16 / $151.16 / $181.40	Professional		$151.16	$151.16	$181.40