Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.77 / $172.92 / $420.85	Facility		$86.77	$172.92	$420.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.82 / $54.02 / $74.14	Professional		$50.82	$54.02	$74.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.73 / $163.16 / $222.53	Facility		$100.73	$163.16	$222.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.40 / $71.45 / $111.03	Professional		$44.40	$71.45	$111.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $61.98 / $151.46 / $163.40	Professional		$61.98	$151.46	$163.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $52.14 / $85.97 / $200.25	Facility		$52.14	$85.97	$200.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $61.98 / $71.28 / $89.25	Professional		$61.98	$71.28	$89.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $61.98 / $83.67 / $177.33	Facility		$61.98	$83.67	$177.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $52.14 / $74.38 / $179.74	Facility		$52.14	$74.38	$179.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $61.98 / $74.38 / $101.47	Professional		$61.98	$74.38	$101.47
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $120.86 / $191.30 / $256.06	Facility		$120.86	$191.30	$256.06
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $55.61 / $79.01 / $152.61	Professional		$55.61	$79.01	$152.61
United Facility/Professional Professional Modifier Low / Median / High Price $26.03 / $35.43 / $74.38	Professional		$26.03	$35.43	$74.38