Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $91.20 / $316.23	Facility		$70.79	$91.20	$316.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $74.13 / $213.80	Professional		$70.79	$74.13	$213.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $204.17	Facility		$114.82	$114.82	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Professional		$77.62	$77.62	$77.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $151.36 / $186.21	Professional		$70.79	$151.36	$186.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $123.03	Facility		$70.79	$70.79	$123.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $85.11 / $114.82	Professional		$70.79	$85.11	$114.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $74.13 / $104.71	Facility		$70.79	$74.13	$104.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $95.50 / $186.21	Facility		$74.13	$95.50	$186.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $77.62 / $91.20	Professional		$69.18	$77.62	$91.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $141.25 / $275.42	Facility		$74.13	$141.25	$275.42
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $60.26 / $85.11	Professional		$56.23	$60.26	$85.11
United Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $112.20	Facility		$85.11	$85.11	$112.20
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $34.67 / $87.10	Professional		$30.90	$34.67	$87.10