Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.11 / $88.81 / $166.14	Professional		$69.11	$88.81	$166.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $139.30 / $139.30 / $139.30	Facility		$139.30	$139.30	$139.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.74 / $95.73 / $137.38	Professional		$46.74	$95.73	$137.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $188.90 / $249.45	Professional		$91.20	$188.90	$249.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $70.37 / $95.43 / $225.76	Facility		$70.37	$95.43	$225.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $138.32 / $182.85 / $304.48	Professional		$138.32	$182.85	$304.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $113.34 / $182.14 / $190.95	Facility		$113.34	$182.14	$190.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $80.80 / $202.89 / $255.11	Facility		$80.80	$202.89	$255.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $98.14 / $181.35 / $257.37	Professional		$98.14	$181.35	$257.37
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $610.29 / $610.29 / $613.76	Facility		$610.29	$610.29	$613.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $167.58 / $178.92 / $302.69	Professional		$167.58	$178.92	$302.69
United Facility/Professional Professional Modifier Low / Median / High Price $60.41 / $100.69 / $299.33	Professional		$60.41	$100.69	$299.33