Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.84 / $114.84 / $114.84	Facility		$114.84	$114.84	$114.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.06 / $70.41 / $403.25	Professional		$70.06	$70.41	$403.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.31 / $90.31 / $90.31	Facility		$90.31	$90.31	$90.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.76 / $90.31 / $106.70	Professional		$76.76	$90.31	$106.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $93.79 / $120.58 / $368.17	Professional		$93.79	$120.58	$368.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $70.06 / $144.01 / $165.18	Facility		$70.06	$144.01	$165.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.70 / $123.89 / $156.91	Professional		$15.70	$123.89	$156.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $131.75 / $144.93 / $165.21	Facility		$131.75	$144.93	$165.21
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $131.75 / $133.97 / $157.63	Professional		$131.75	$133.97	$157.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $70.06 / $137.15 / $172.65	Facility		$70.06	$137.15	$172.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $90.31 / $122.98 / $153.51	Professional		$90.31	$122.98	$153.51
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $197.59 / $197.59 / $232.42	Facility		$197.59	$197.59	$232.42
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $134.02 / $134.02 / $134.02	Professional		$134.02	$134.02	$134.02
United Facility/Professional Professional Modifier Low / Median / High Price $68.91 / $76.40 / $132.44	Professional		$68.91	$76.40	$132.44