Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $436.52 / $794.33	Facility		$169.82	$436.52	$794.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $134.90 / $218.78	Professional		$114.82	$134.90	$218.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $281.84 / $512.86	Facility		$281.84	$281.84	$512.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Professional		$141.25	$141.25	$141.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $371.54 / $457.09	Professional		$173.78	$371.54	$457.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Facility		$173.78	$173.78	$173.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $190.55 / $245.47	Professional		$147.91	$190.55	$245.47
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $190.55 / $275.42	Facility		$158.49	$190.55	$275.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $245.47 / $457.09	Facility		$131.83	$245.47	$457.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $190.55 / $245.47	Professional		$79.43	$190.55	$245.47
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $524.81 / $691.83	Facility		$309.03	$524.81	$691.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $147.91 / $208.93	Professional		$141.25	$147.91	$208.93
United Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $281.84	Facility		$208.93	$208.93	$281.84
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $208.93	Professional		$74.13	$74.13	$208.93