Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $79.43 / $275.42	Facility		$43.65	$79.43	$275.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $34.67 / $87.10	Professional		$22.91	$34.67	$87.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $239.88 / $302.00	Facility		$26.30	$239.88	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $58.88 / $89.13	Professional		$28.18	$58.88	$89.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $67.61 / $85.11	Professional		$58.88	$67.61	$85.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $45.71 / $72.44	Facility		$27.54	$45.71	$72.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $54.95 / $93.33	Professional		$34.67	$54.95	$93.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $57.54 / $63.10	Facility		$44.67	$57.54	$63.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $45.71 / $81.28	Facility		$29.51	$45.71	$81.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $63.10 / $91.20	Professional		$46.77	$63.10	$91.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $281.84 / $354.81	Facility		$204.17	$281.84	$354.81
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $63.10 / $83.18	Professional		$51.29	$63.10	$83.18
United Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $323.59 / $426.58	Facility		$263.03	$323.59	$426.58
United Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $34.67 / $83.18	Professional		$27.54	$34.67	$83.18