Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.88 / $248.93 / $600.90	Facility		$118.88	$248.93	$600.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.61 / $95.58 / $349.00	Professional		$58.61	$95.58	$349.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.00 / $78.00 / $78.00	Facility		$78.00	$78.00	$78.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.37 / $139.69 / $218.70	Professional		$84.37	$139.69	$218.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $122.94 / $155.22 / $203.05	Professional		$122.94	$155.22	$203.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $82.04 / $123.37 / $183.40	Facility		$82.04	$123.37	$183.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $99.00 / $135.72 / $190.04	Professional		$99.00	$135.72	$190.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $95.62 / $151.41 / $164.82	Facility		$95.62	$151.41	$164.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $81.93 / $126.63 / $202.30	Facility		$81.93	$126.63	$202.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $108.80 / $150.01 / $208.80	Professional		$108.80	$150.01	$208.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $647.77 / $819.80 / $1,030.29	Facility		$647.77	$819.80	$1,030.29
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $109.44 / $155.38 / $218.35	Professional		$109.44	$155.38	$218.35
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 $115.26 / $159.33 / $243.71	Professional		$115.26	$159.33	$243.71