Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.26 / $336.59 / $7,920.26	Facility		$66.26	$336.59	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.35 / $53.49 / $205.68	Professional		$28.35	$53.49	$205.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.43 / $84.31 / $153.88	Professional		$47.43	$84.31	$153.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $52.66 / $69.68 / $134.88	Professional		$52.66	$69.68	$134.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $40.35 / $74.70 / $126.24	Facility		$40.35	$74.70	$126.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $47.43 / $91.06 / $120.10	Professional		$47.43	$91.06	$120.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $56.72 / $99.49 / $115.91	Facility		$56.72	$99.49	$115.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $38.97 / $75.56 / $146.74	Facility		$38.97	$75.56	$146.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $54.61 / $87.10 / $144.76	Professional		$54.61	$87.10	$144.76
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 $57.62 / $94.86 / $162.02	Professional		$57.62	$94.86	$162.02
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $1,078.00 / $6,216.00	Facility		$376.00	$1,078.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $62.08 / $101.68 / $161.24	Professional		$62.08	$101.68	$161.24