Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.15 / $123.17 / $324.07	Facility		$96.15	$123.17	$324.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.43 / $118.13 / $262.37	Professional		$93.43	$118.13	$262.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $213.24 / $213.24 / $213.24	Facility		$213.24	$213.24	$213.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.62 / $106.62 / $106.62	Professional		$106.62	$106.62	$106.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $40.82 / $90.90 / $108.94	Professional		$40.82	$90.90	$108.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $75.50 / $125.17 / $215.30	Facility		$75.50	$125.17	$215.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $54.03 / $95.20 / $95.20	Professional		$54.03	$95.20	$95.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $64.43 / $84.56 / $85.76	Facility		$64.43	$84.56	$85.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $75.50 / $143.19 / $273.77	Facility		$75.50	$143.19	$273.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $62.55 / $104.72 / $119.00	Professional		$62.55	$104.72	$119.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $105.42 / $105.42 / $105.42	Professional		$105.42	$105.42	$105.42
United Facility/Professional Facility Modifier Low / Median / High Price $97.11 / $97.11 / $97.11	Facility		$97.11	$97.11	$97.11
United Facility/Professional Professional Modifier Low / Median / High Price $109.16 / $115.92 / $115.92	Professional		$109.16	$115.92	$115.92