Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $177.83 / $177.83	Facility		$83.18	$177.83	$177.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $85.11 / $234.42	Professional		$83.18	$85.11	$234.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Facility		$186.21	$186.21	$186.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Professional		$95.50	$95.50	$95.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $251.19 / $269.15	Professional		$104.71	$251.19	$269.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $120.23 / $181.97	Facility		$87.10	$120.23	$181.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $93.33 / $177.83	Professional		$83.18	$93.33	$177.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $199.53 / $199.53	Facility		$165.96	$199.53	$199.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $120.23 / $245.47	Facility		$85.11	$120.23	$245.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $91.20 / $204.17	Professional		$79.43	$91.20	$204.17
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $269.15 / $407.38	Facility		$144.54	$269.15	$407.38
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $100.00 / $131.83	Professional		$93.33	$100.00	$131.83