Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $173.78 / $6,606.93	Facility		$83.18	$173.78	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $77.62 / $141.25	Professional		$41.69	$77.62	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $112.20 / $204.17	Professional		$60.26	$112.20	$204.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $107.15 / $190.55	Professional		$70.79	$107.15	$190.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $102.33 / $173.78	Facility		$53.70	$102.33	$173.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $117.49 / $194.98	Professional		$63.10	$117.49	$194.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $134.90 / $154.88	Facility		$97.72	$134.90	$154.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $97.72 / $165.96	Facility		$51.29	$97.72	$165.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $104.71 / $190.55	Professional		$72.44	$104.71	$190.55
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $501.19 / $630.96	Facility		$389.05	$501.19	$630.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $125.89 / $194.98	Professional		$79.43	$125.89	$194.98
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $1,071.52 / $6,165.95	Facility		$389.05	$1,071.52	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $107.15 / $190.55	Professional		$63.10	$107.15	$190.55