Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $197.11 / $197.11 / $197.11	Facility		$197.11	$197.11	$197.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.81 / $42.41 / $50.67	Professional		$41.81	$42.41	$50.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.61 / $304.05 / $367.38	Facility		$229.61	$304.05	$367.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $62.97 / $73.65 / $78.36	Professional		$62.97	$73.65	$78.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $50.67 / $53.20 / $108.94	Facility		$50.67	$53.20	$108.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $38.19 / $58.06 / $63.65	Facility		$38.19	$58.06	$63.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $50.67 / $79.02 / $367.38	Facility		$50.67	$79.02	$367.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $56.63 / $56.63 / $64.48	Professional		$56.63	$56.63	$64.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $291.56 / $385.75 / $463.05	Facility		$291.56	$385.75	$463.05
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $53.58 / $78.04 / $89.07	Professional		$53.58	$78.04	$89.07
United Facility/Professional Professional Modifier Low / Median / High Price $44.86 / $60.00 / $104.33	Professional		$44.86	$60.00	$104.33