Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.82 / $165.19 / $7,920.26	Facility		$88.82	$165.19	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.56 / $88.82 / $212.80	Professional		$43.56	$88.82	$212.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.64 / $112.25 / $202.77	Professional		$69.64	$112.25	$202.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $75.98 / $111.34 / $183.08	Professional		$75.98	$111.34	$183.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $52.11 / $100.06 / $170.00	Facility		$52.11	$100.06	$170.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $64.05 / $115.42 / $221.01	Professional		$64.05	$115.42	$221.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $78.39 / $132.66 / $150.75	Facility		$78.39	$132.66	$150.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $52.11 / $112.04 / $190.50	Facility		$52.11	$112.04	$190.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $76.80 / $120.83 / $199.66	Professional		$76.80	$120.83	$199.66
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $307.31 / $396.76 / $478.20	Facility		$307.31	$396.76	$478.20
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $77.69 / $127.90 / $210.34	Professional		$77.69	$127.90	$210.34
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 $105.47 / $146.97 / $236.19	Professional		$105.47	$146.97	$236.19