Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $371.54 / $676.08	Facility		$144.54	$371.54	$676.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $117.49 / $190.55	Professional		$97.72	$117.49	$190.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $436.52	Facility		$245.47	$245.47	$436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Professional		$87.10	$87.10	$87.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $323.59 / $398.11	Professional		$151.36	$323.59	$398.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $208.93	Facility		$151.36	$151.36	$208.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $165.96 / $208.93	Professional		$125.89	$165.96	$208.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $165.96 / $263.03	Facility		$134.90	$165.96	$263.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $208.93 / $398.11	Facility		$112.20	$208.93	$398.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $165.96 / $208.93	Professional		$79.43	$165.96	$208.93
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $446.68 / $588.84	Facility		$263.03	$446.68	$588.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $128.82 / $181.97	Professional		$120.23	$128.82	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $181.97	Professional		$63.10	$63.10	$181.97