Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.68 / $80.81 / $156.07	Facility		$69.68	$80.81	$156.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.13 / $52.40 / $108.69	Professional		$40.13	$52.40	$108.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.58 / $139.49 / $161.94	Facility		$90.58	$139.49	$161.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.07 / $59.35 / $106.41	Professional		$28.07	$59.35	$106.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $55.74 / $122.16 / $146.38	Professional		$55.74	$122.16	$146.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $50.17 / $77.48 / $139.44	Facility		$50.17	$77.48	$139.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $55.74 / $56.88 / $78.04	Professional		$55.74	$56.88	$78.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $55.74 / $61.31 / $123.05	Facility		$55.74	$61.31	$123.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $58.53 / $75.25 / $146.72	Facility		$58.53	$75.25	$146.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $58.81 / $64.06 / $80.27	Professional		$58.81	$64.06	$80.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $108.69 / $169.62 / $230.28	Facility		$108.69	$169.62	$230.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $98.15 / $109.56 / $174.79	Professional		$98.15	$109.56	$174.79
United Facility/Professional Professional Modifier Low / Median / High Price $23.41 / $23.41 / $58.33	Professional		$23.41	$23.41	$58.33