Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.80 / $194.68 / $408.29	Facility		$74.80	$194.68	$408.29
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $70.09 / $319.33 / $721.56	Facility	25	$70.09	$319.33	$721.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.87 / $134.54 / $352.32	Professional		$65.87	$134.54	$352.32
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $62.28 / $142.31 / $366.00	Professional	25	$62.28	$142.31	$366.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $94.50 / $94.50 / $94.50	Professional	50	$94.50	$94.50	$94.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $129.72 / $129.72 / $183.60	Facility		$129.72	$129.72	$183.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.20 / $187.84 / $322.27	Professional		$84.20	$187.84	$322.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $183.74 / $246.42 / $311.23	Professional		$183.74	$246.42	$311.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $92.93 / $158.63 / $257.51	Facility		$92.93	$158.63	$257.51
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $133.97 / $187.88 / $312.95	Professional		$133.97	$187.88	$312.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $123.01 / $205.02 / $257.95	Facility		$123.01	$205.02	$257.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $94.59 / $160.68 / $301.13	Facility		$94.59	$160.68	$301.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $144.30 / $230.40 / $322.44	Professional		$144.30	$230.40	$322.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $97.92 / $97.92 / $97.92	Facility		$97.92	$97.92	$97.92
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $160.06 / $233.02 / $333.03	Professional		$160.06	$233.02	$333.03
United Facility/Professional Professional Modifier Low / Median / High Price $134.53 / $204.10 / $335.65	Professional		$134.53	$204.10	$335.65