Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.58 / $167.64 / $227.19	Facility		$100.58	$167.64	$227.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $78.05 / $116.67	Professional		$9.77	$78.05	$116.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.75 / $201.36 / $233.78	Facility		$130.75	$201.36	$233.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.22 / $84.99 / $144.51	Professional		$6.22	$84.99	$144.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $80.45 / $196.42 / $211.92	Professional		$80.45	$196.42	$211.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $8.42 / $58.60 / $167.81	Facility		$8.42	$58.60	$167.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $11.84 / $80.45 / $96.55	Professional		$11.84	$80.45	$96.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $80.45 / $84.48 / $177.62	Facility		$80.45	$84.48	$177.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $43.14 / $96.55 / $175.40	Facility		$43.14	$96.55	$175.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.13 / $88.51 / $112.64	Professional		$11.13	$88.51	$112.64
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $140.81 / $237.51 / $315.88	Facility		$140.81	$237.51	$315.88
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $8.81 / $72.13 / $198.56	Professional		$8.81	$72.13	$198.56
United Facility/Professional Professional Modifier Low / Median / High Price $4.92 / $33.79 / $96.55	Professional		$4.92	$33.79	$96.55