Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.33 / $765.00 / $7,920.26	Facility		$100.33	$765.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.31 / $176.11 / $732.00	Professional		$53.31	$176.11	$732.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.92 / $184.66 / $471.95	Professional		$86.92	$184.66	$471.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $92.05 / $159.99 / $418.59	Professional		$92.05	$159.99	$418.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $68.94 / $159.99 / $427.62	Facility		$68.94	$159.99	$427.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $77.39 / $244.05 / $524.58	Professional		$77.39	$244.05	$524.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $97.15 / $309.77 / $341.70	Facility		$97.15	$309.77	$341.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $68.94 / $256.60 / $442.78	Facility		$68.94	$256.60	$442.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $95.55 / $219.61 / $474.72	Professional		$95.55	$219.61	$474.72
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $95.17 / $169.37 / $488.91	Professional		$95.17	$169.37	$488.91
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 $255.84 / $357.72 / $548.98	Professional		$255.84	$357.72	$548.98