Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $160.94 / $160.94 / $160.94	Facility		$160.94	$160.94	$160.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.90 / $104.08 / $599.03	Professional		$102.90	$104.08	$599.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.68 / $130.68 / $130.68	Facility		$130.68	$130.68	$130.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.08 / $130.68 / $156.62	Professional		$111.08	$130.68	$156.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $139.80 / $159.78 / $516.02	Professional		$139.80	$159.78	$516.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $102.90 / $205.03 / $233.92	Facility		$102.90	$205.03	$233.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $22.22 / $175.43 / $222.22	Professional		$22.22	$175.43	$222.22
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $196.22 / $219.87 / $248.36	Facility		$196.22	$219.87	$248.36
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $189.73 / $199.72 / $228.44	Professional		$189.73	$199.72	$228.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $102.90 / $140.97 / $233.92	Facility		$102.90	$140.97	$233.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $130.68 / $180.62 / $219.87	Professional		$130.68	$180.62	$219.87
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $290.19 / $290.19 / $341.34	Facility		$290.19	$290.19	$341.34
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $196.85 / $196.85 / $196.85	Professional		$196.85	$196.85	$196.85
United Facility/Professional Professional Modifier Low / Median / High Price $96.63 / $96.63 / $185.72	Professional		$96.63	$96.63	$185.72