Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.34 / $320.54 / $4,684.68	Facility		$69.34	$320.54	$4,684.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.14 / $72.98 / $223.67	Professional		$22.14	$72.98	$223.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.42 / $91.95 / $255.86	Professional		$35.42	$91.95	$255.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $63.16 / $84.07 / $235.35	Professional		$63.16	$84.07	$235.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $44.96 / $96.66 / $188.25	Facility		$44.96	$96.66	$188.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $46.92 / $114.48 / $214.98	Professional		$46.92	$114.48	$214.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $48.50 / $156.04 / $203.01	Facility		$48.50	$156.04	$203.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $44.96 / $104.19 / $258.29	Facility		$44.96	$104.19	$258.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $47.82 / $105.97 / $245.23	Professional		$47.82	$105.97	$245.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $492.49 / $617.05 / $792.89	Facility		$492.49	$617.05	$792.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $66.48 / $111.91 / $285.20	Professional		$66.48	$111.91	$285.20
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $3,290.00 / $6,216.00	Facility		$376.00	$3,290.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $75.22 / $98.89 / $220.93	Professional		$75.22	$98.89	$220.93