Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $234.42 / $537.03	Facility		$91.20	$234.42	$537.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $63.10 / $154.88	Professional		$50.12	$63.10	$154.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $186.21 / $251.19	Facility		$114.82	$186.21	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $75.86 / $138.04	Professional		$46.77	$75.86	$138.04
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 / $281.84	Facility		$70.79	$70.79	$281.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $83.18 / $131.83	Professional		$63.10	$83.18	$131.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $131.83	Facility		$70.79	$70.79	$131.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $109.65 / $208.93	Facility		$66.07	$109.65	$208.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $85.11 / $114.82	Professional		$70.79	$85.11	$114.82
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $208.93 / $288.40	Facility		$104.71	$208.93	$288.40
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 $29.51 / $39.81 / $85.11	Professional		$29.51	$39.81	$85.11