Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.29 / $113.77 / $745.36	Facility		$61.29	$113.77	$745.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.11 / $47.56 / $265.99	Professional		$45.11	$47.56	$265.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.68 / $129.07 / $176.05	Facility		$79.68	$129.07	$176.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.15 / $56.58 / $88.12	Professional		$35.15	$56.58	$88.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $49.03 / $119.90 / $129.36	Professional		$49.03	$119.90	$129.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $44.46 / $61.33 / $163.51	Facility		$44.46	$61.33	$163.51
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $49.03 / $58.84 / $97.65	Professional		$49.03	$58.84	$97.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $49.03 / $66.19 / $108.23	Facility		$49.03	$66.19	$108.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $44.46 / $61.33 / $142.19	Facility		$44.46	$61.33	$142.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $49.03 / $61.29 / $80.27	Professional		$49.03	$61.29	$80.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $95.61 / $151.33 / $202.56	Facility		$95.61	$151.33	$202.56
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $44.03 / $62.50 / $120.61	Professional		$44.03	$62.50	$120.61
United Facility/Professional Professional Modifier Low / Median / High Price $20.59 / $28.02 / $69.27	Professional		$20.59	$28.02	$69.27