Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.13 / $108.27 / $223.72	Facility		$42.13	$108.27	$223.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $42.13 / $42.13	Professional		$42.13	$42.13	$42.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.58 / $128.71 / $149.43	Facility		$83.58	$128.71	$149.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.42 / $59.10 / $73.88	Professional		$51.42	$59.10	$73.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.43 / $125.42 / $135.32	Professional		$51.43	$125.42	$135.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $42.31 / $51.43 / $90.58	Facility		$42.31	$51.43	$90.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $51.43 / $51.43 / $69.43	Professional		$51.43	$51.43	$69.43
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $51.43 / $54.00 / $72.00	Facility		$51.43	$54.00	$72.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $50.56 / $61.72 / $149.15	Facility		$50.56	$61.72	$149.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $50.56 / $61.72	Professional		$42.13	$50.56	$61.72
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $71.79 / $147.77 / $201.90	Facility		$71.79	$147.77	$201.90
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $46.06 / $61.41 / $127.18	Professional		$46.06	$61.41	$127.18
United Facility/Professional Professional Modifier Low / Median / High Price $17.64 / $17.73 / $50.66	Professional		$17.64	$17.73	$50.66