Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.21 / $161.82 / $6,629.40	Facility		$30.21	$161.82	$6,629.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.44 / $42.67 / $184.44	Professional		$17.44	$42.67	$184.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.27 / $53.33 / $192.42	Professional		$24.27	$53.33	$192.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $27.52 / $36.47 / $165.21	Professional		$27.52	$36.47	$165.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $20.05 / $55.21 / $137.91	Facility		$20.05	$55.21	$137.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $25.30 / $74.37 / $159.63	Professional		$25.30	$74.37	$159.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $27.00 / $90.45 / $143.38	Facility		$27.00	$90.45	$143.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.92 / $66.80 / $184.49	Facility		$20.92	$66.80	$184.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.67 / $66.86 / $177.62	Professional		$29.67	$66.86	$177.62
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $492.49 / $584.72 / $749.46	Facility		$492.49	$584.72	$749.46
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $30.43 / $54.15 / $203.71	Professional		$30.43	$54.15	$203.71
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $3,290.00 / $6,216.00	Facility		$376.00	$3,290.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $54.69 / $112.14 / $186.58	Professional		$54.69	$112.14	$186.58