Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.86 / $94.08 / $181.66	Facility		$77.86	$94.08	$181.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.93 / $62.93 / $351.98	Professional		$62.93	$62.93	$351.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $105.43 / $170.79 / $232.93	Facility		$105.43	$170.79	$232.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.53 / $74.75 / $116.32	Professional		$46.53	$74.75	$116.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $64.88 / $158.56 / $171.06	Professional		$64.88	$158.56	$171.06
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $34.39 / $70.20 / $135.30	Facility		$34.39	$70.20	$135.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $64.88 / $77.86 / $111.30	Professional		$64.88	$77.86	$111.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $64.88 / $77.86 / $143.22	Facility		$64.88	$77.86	$143.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $64.88 / $78.50 / $188.15	Facility		$64.88	$78.50	$188.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $64.88 / $77.86 / $106.21	Professional		$64.88	$77.86	$106.21
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $126.52 / $200.25 / $268.05	Facility		$126.52	$200.25	$268.05
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $58.22 / $82.70 / $160.00	Professional		$58.22	$82.70	$160.00
United Facility/Professional Professional Modifier Low / Median / High Price $27.25 / $37.08 / $91.66	Professional		$27.25	$37.08	$91.66