Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $186.21 / $208.93	Facility		$89.13	$186.21	$208.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $75.86 / $107.15	Professional		$61.66	$75.86	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $169.82 / $218.78	Professional		$87.10	$169.82	$218.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $138.04 / $190.55	Professional		$89.13	$138.04	$190.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $95.50 / $144.54	Facility		$61.66	$95.50	$144.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $144.54 / $218.78	Professional		$72.44	$144.54	$218.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $162.18 / $165.96	Facility		$109.65	$162.18	$165.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $79.43 / $134.90	Facility		$63.10	$79.43	$134.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $131.83 / $208.93	Professional		$77.62	$131.83	$208.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $141.25 / $204.17	Professional		$109.65	$141.25	$204.17
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $151.36 / $213.80	Professional		$104.71	$151.36	$213.80