Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $100.66 / $112.99	Professional		$77.62	$100.66	$112.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.62 / $65.19 / $78.11	Professional		$28.62	$65.19	$78.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $181.26 / $221.25 / $268.66	Professional		$181.26	$221.25	$268.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $61.07 / $101.89 / $162.49	Facility		$61.07	$101.89	$162.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $75.34 / $75.34 / $75.34	Professional		$75.34	$75.34	$75.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $45.18 / $55.56 / $188.94	Facility		$45.18	$55.56	$188.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $60.07 / $101.89 / $159.84	Facility		$60.07	$101.89	$159.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $103.85 / $148.28 / $207.17	Professional		$103.85	$148.28	$207.17
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $152.16 / $222.24 / $266.25	Professional		$152.16	$222.24	$266.25
United Facility/Professional Professional Modifier Low / Median / High Price $88.96 / $143.44 / $242.64	Professional		$88.96	$143.44	$242.64