Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.92 / $336.59 / $6,629.40	Facility		$94.92	$336.59	$6,629.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.25 / $76.54 / $188.01	Professional		$51.25	$76.54	$188.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.98 / $120.10 / $181.87	Professional		$76.98	$120.10	$181.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $89.54 / $128.81 / $161.01	Professional		$89.54	$128.81	$161.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $68.14 / $94.92 / $170.17	Facility		$68.14	$94.92	$170.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $88.61 / $113.40 / $176.14	Professional		$88.61	$113.40	$176.14
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $78.97 / $123.95 / $136.68	Facility		$78.97	$123.95	$136.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $65.09 / $99.67 / $172.48	Facility		$65.09	$99.67	$172.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $97.92 / $126.37 / $172.58	Professional		$97.92	$126.37	$172.58
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 $100.25 / $136.19 / $190.45	Professional		$100.25	$136.19	$190.45
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 $90.66 / $128.49 / $189.45	Professional		$90.66	$128.49	$189.45