Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $426.58 / $6,606.93	Facility		$100.00	$426.58	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $144.54 / $309.03	Professional		$43.65	$144.54	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $181.97 / $467.74	Professional		$69.18	$181.97	$467.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $162.18 / $416.87	Professional		$77.62	$162.18	$416.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $223.87 / $794.33	Facility		$61.66	$223.87	$794.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $257.04 / $446.68	Professional		$70.79	$257.04	$446.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $316.23 / $338.84	Facility		$229.09	$316.23	$338.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $158.49 / $389.05	Facility		$51.29	$158.49	$389.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $131.83 / $436.52	Professional		$79.43	$131.83	$436.52
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $169.82 / $436.52	Professional		$95.50	$169.82	$436.52
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 $77.62 / $162.18 / $446.68	Professional		$77.62	$162.18	$446.68