Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.31 / $146.50 / $227.52	Facility		$106.31	$146.50	$227.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.78 / $90.78 / $305.00	Professional		$65.78	$90.78	$305.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $100.00 / $120.00	Facility		$50.00	$100.00	$120.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.59 / $138.22 / $265.63	Professional		$80.59	$138.22	$265.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $196.51 / $228.88 / $264.04	Professional		$196.51	$228.88	$264.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $84.38 / $99.44 / $227.12	Facility		$84.38	$99.44	$227.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $125.75 / $165.99 / $258.22	Professional		$125.75	$165.99	$258.22
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $126.94 / $174.00 / $203.68	Facility		$126.94	$174.00	$203.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $84.38 / $106.32 / $257.43	Facility		$84.38	$106.32	$257.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $99.88 / $180.65 / $265.17	Professional		$99.88	$180.65	$265.17
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $158.31 / $269.64 / $397.24	Facility		$158.31	$269.64	$397.24
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $108.83 / $122.01 / $265.17	Professional		$108.83	$122.01	$265.17
United Facility/Professional Professional Modifier Low / Median / High Price $79.41 / $93.11 / $220.19	Professional		$79.41	$93.11	$220.19