Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $213.80 / $6,606.93	Facility		$112.20	$213.80	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $79.43 / $218.78	Professional		$47.86	$79.43	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $131.83 / $234.42	Professional		$75.86	$131.83	$234.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $114.82 / $234.42	Professional		$85.11	$114.82	$234.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $109.65 / $239.88	Facility		$54.95	$109.65	$239.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $141.25 / $234.42	Professional		$85.11	$141.25	$234.42
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $169.82 / $190.55	Facility		$117.49	$169.82	$190.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $109.65 / $199.53	Facility		$60.26	$109.65	$199.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $131.83 / $239.88	Professional		$79.43	$131.83	$239.88
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $141.25 / $239.88	Professional		$102.33	$141.25	$239.88
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $4,073.80 / $6,165.95	Facility		$389.05	$4,073.80	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $134.90 / $234.42	Professional		$79.43	$134.90	$234.42