Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $144.54 / $144.54	Facility		$125.89	$144.54	$144.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $154.88	Professional		$125.89	$125.89	$154.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Facility		$275.42	$275.42	$275.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $213.80 / $229.09	Professional		$89.13	$213.80	$229.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $269.15	Facility		$107.15	$107.15	$269.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $125.89 / $173.78	Professional		$107.15	$125.89	$173.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $169.82 / $173.78	Facility		$141.25	$169.82	$173.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $177.83 / $275.42	Facility		$125.89	$177.83	$275.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $79.43 / $218.78	Professional		$70.79	$79.43	$218.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Facility		$512.86	$512.86	$512.86
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $165.96 / $177.83	Professional		$147.91	$165.96	$177.83