Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.79 / $314.36 / $401.59	Professional		$150.79	$314.36	$401.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.28 / $175.28 / $175.28	Professional		$175.28	$175.28	$175.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $486.90 / $775.46 / $945.45	Professional		$486.90	$775.46	$945.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $259.01 / $401.59 / $719.95	Facility		$259.01	$401.59	$719.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $365.90 / $462.56 / $511.25	Professional		$365.90	$462.56	$511.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $475.48 / $475.48 / $535.59	Facility		$475.48	$475.48	$535.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $276.52 / $421.67 / $719.95	Facility		$276.52	$421.67	$719.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $175.28 / $405.65 / $570.58	Professional		$175.28	$405.65	$570.58
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $463.43 / $535.59 / $535.59	Professional		$463.43	$535.59	$535.59
United Facility/Professional Professional Modifier Low / Median / High Price $173.36 / $182.18 / $347.58	Professional		$173.36	$182.18	$347.58