Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.38 / $4,684.68 / $8,728.00	Facility		$99.38	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.70 / $145.49 / $321.87	Professional		$43.70	$145.49	$321.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.98 / $74.98 / $74.98	Facility		$74.98	$74.98	$74.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.23 / $174.04 / $574.77	Professional		$72.23	$174.04	$574.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $90.22 / $123.09 / $518.95	Professional		$90.22	$123.09	$518.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $58.54 / $201.22 / $416.99	Facility		$58.54	$201.22	$416.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $74.73 / $254.98 / $552.38	Professional		$74.73	$254.98	$552.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $91.84 / $340.37 / $426.12	Facility		$91.84	$340.37	$426.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $59.99 / $224.28 / $531.92	Facility		$59.99	$224.28	$531.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $84.48 / $253.98 / $567.24	Professional		$84.48	$253.98	$567.24
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $81.80 / $259.20 / $546.32	Professional		$81.80	$259.20	$546.32
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 $202.82 / $365.29 / $580.87	Professional		$202.82	$365.29	$580.87