Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.83 / $122.19 / $7,920.26	Facility		$12.83	$122.19	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.98 / $67.59 / $179.91	Professional		$18.98	$67.59	$179.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.09 / $88.09 / $88.09	Professional		$88.09	$88.09	$88.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.24 / $33.51 / $232.46	Professional		$25.24	$33.51	$232.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18.29 / $107.74 / $237.32	Facility		$18.29	$107.74	$237.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $23.65 / $150.96 / $236.68	Professional		$23.65	$150.96	$236.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $53.60 / $189.30 / $245.22	Facility		$53.60	$189.30	$245.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.22 / $112.88 / $302.73	Facility		$17.22	$112.88	$302.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.46 / $88.09 / $296.41	Professional		$28.46	$88.09	$296.41
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $25.08 / $74.50 / $352.47	Professional		$25.08	$74.50	$352.47
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 $127.60 / $198.81 / $321.22	Professional		$127.60	$198.81	$321.22