Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.99 / $198.65 / $484.50	Facility		$57.99	$198.65	$484.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.88 / $80.09 / $105.89	Professional		$56.88	$80.09	$105.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $185.95 / $301.24 / $332.48	Facility		$185.95	$301.24	$332.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.36 / $60.16 / $149.53	Professional		$38.36	$60.16	$149.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $114.43 / $279.23 / $301.27	Professional		$114.43	$279.23	$301.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $52.95 / $114.43 / $238.65	Facility		$52.95	$114.43	$238.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $79.94 / $114.43 / $155.62	Professional		$79.94	$114.43	$155.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $114.43 / $120.15 / $79,999.20	Facility		$114.43	$120.15	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $137.32 / $151.62 / $331.85	Facility		$137.32	$151.62	$331.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $65.95 / $125.87 / $160.19	Professional		$65.95	$125.87	$160.19
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $223.14 / $348.21 / $449.24	Facility		$223.14	$348.21	$449.24
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $59.96 / $104.13 / $282.25	Professional		$59.96	$104.13	$282.25
United Facility/Professional Professional Modifier Low / Median / High Price $33.57 / $48.06 / $137.32	Professional		$33.57	$48.06	$137.32