Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $104.71 / $309.03	Facility		$85.11	$104.71	$309.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $56.23 / $125.89	Professional		$40.74	$56.23	$125.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $158.49 / $199.53	Facility		$112.20	$158.49	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $75.86 / $123.03	Professional		$33.88	$75.86	$123.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $147.91 / $181.97	Professional		$69.18	$147.91	$181.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $77.62	Facility		$69.18	$69.18	$77.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $69.18 / $95.50	Professional		$58.88	$69.18	$95.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $128.82	Facility		$69.18	$69.18	$128.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $95.50 / $199.53	Facility		$51.29	$95.50	$199.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $79.43 / $97.72	Professional		$61.66	$79.43	$97.72
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $204.17 / $281.84	Facility		$102.33	$204.17	$281.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $58.88 / $83.18	Professional		$54.95	$58.88	$83.18
United Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $83.18 / $109.65	Facility		$83.18	$83.18	$109.65
United Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $28.84 / $83.18	Professional		$25.12	$28.84	$83.18