Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.17 / $238.15 / $7,920.26	Facility		$83.17	$238.15	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.62 / $64.34 / $219.66	Professional		$29.62	$64.34	$219.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.91 / $109.36 / $285.66	Professional		$58.91	$109.36	$285.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $66.61 / $88.74 / $243.79	Professional		$66.61	$88.74	$243.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $50.21 / $98.57 / $219.04	Facility		$50.21	$98.57	$219.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $60.39 / $121.39 / $227.76	Professional		$60.39	$121.39	$227.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $64.41 / $170.43 / $211.72	Facility		$64.41	$170.43	$211.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $50.51 / $112.72 / $272.88	Facility		$50.51	$112.72	$272.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.84 / $117.86 / $266.62	Professional		$70.84	$117.86	$266.62
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 $71.86 / $127.89 / $301.31	Professional		$71.86	$127.89	$301.31
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 $126.49 / $197.34 / $338.32	Professional		$126.49	$197.34	$338.32