Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.95 / $106.95 / $121.55	Facility		$106.95	$106.95	$121.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.59 / $96.54 / $221.16	Professional		$76.59	$96.54	$221.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $149.19 / $149.19 / $149.19	Facility		$149.19	$149.19	$149.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.92 / $154.91 / $258.63	Professional		$72.92	$154.91	$258.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $133.37 / $188.59 / $242.53	Professional		$133.37	$188.59	$242.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $83.27 / $106.95 / $202.06	Facility		$83.27	$106.95	$202.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $110.86 / $166.16 / $284.33	Professional		$110.86	$166.16	$284.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $115.73 / $185.59 / $198.99	Facility		$115.73	$185.59	$198.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $83.27 / $106.95 / $209.99	Facility		$83.27	$106.95	$209.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $86.00 / $152.05 / $240.18	Professional		$86.00	$152.05	$240.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $94.60 / $127.46 / $222.50	Professional		$94.60	$127.46	$222.50
United Facility/Professional Professional Modifier Low / Median / High Price $74.98 / $125.61 / $258.91	Professional		$74.98	$125.61	$258.91