Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $173.78 / $323.59	Facility		$91.20	$173.78	$323.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $53.70 / $107.15	Professional		$46.77	$53.70	$107.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $208.93	Facility		$117.49	$117.49	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $83.18 / $128.82	Professional		$32.36	$83.18	$128.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $154.88 / $186.21	Professional		$72.44	$154.88	$186.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $72.44 / $173.78	Facility		$72.44	$72.44	$173.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $83.18 / $97.72	Professional		$72.44	$83.18	$97.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $72.44 / $107.15	Facility		$72.44	$72.44	$107.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $100.00 / $213.80	Facility		$70.79	$100.00	$213.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $79.43 / $112.20	Professional		$64.57	$79.43	$112.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $218.78 / $295.12	Facility		$107.15	$218.78	$295.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $66.07 / $87.10	Professional		$53.70	$66.07	$87.10
United Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $114.82	Facility		$87.10	$87.10	$114.82
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $87.10	Professional		$30.20	$30.20	$87.10