Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.04 / $203.23 / $264.08	Facility		$132.04	$203.23	$264.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.15 / $132.47 / $180.12	Professional		$131.15	$132.47	$180.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.01 / $198.70 / $268.50	Facility		$117.01	$198.70	$268.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.16 / $131.16 / $142.29	Professional		$131.16	$131.16	$142.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $130.13 / $289.77 / $335.68	Professional		$130.13	$289.77	$335.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $131.16 / $187.56 / $431.75	Facility		$131.16	$187.56	$431.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $131.16 / $144.27 / $170.51	Professional		$131.16	$144.27	$170.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $131.15 / $149.47 / $393.48	Facility		$131.15	$149.47	$393.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $93.21 / $127.47 / $198.70	Facility		$93.21	$127.47	$198.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $111.23 / $142.29 / $154.66	Professional		$111.23	$142.29	$154.66
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $112.08 / $217.69 / $372.13	Facility		$112.08	$217.69	$372.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $131.16 / $131.16 / $131.16	Professional		$131.16	$131.16	$131.16
United Facility/Professional Professional Modifier Low / Median / High Price $131.16 / $131.16 / $146.01	Professional		$131.16	$131.16	$146.01