Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.92 / $98.27 / $217.68	Facility		$20.92	$98.27	$217.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.03 / $96.63 / $109.34	Professional		$92.03	$96.63	$109.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.16 / $109.16 / $109.16	Facility		$109.16	$109.16	$109.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.90 / $86.90 / $86.90	Professional		$86.90	$86.90	$86.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $175.87 / $206.90 / $256.12	Professional		$175.87	$206.90	$256.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $93.25 / $117.08 / $249.00	Facility		$93.25	$117.08	$249.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $155.84 / $188.90 / $309.80	Professional		$155.84	$188.90	$309.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $128.04 / $191.08 / $194.97	Facility		$128.04	$191.08	$194.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $96.06 / $152.91 / $249.00	Facility		$96.06	$152.91	$249.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $86.90 / $185.43 / $252.48	Professional		$86.90	$185.43	$252.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $156.47 / $299.04 / $389.60	Facility		$156.47	$299.04	$389.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $157.04 / $225.23 / $274.77	Professional		$157.04	$225.23	$274.77
United Facility/Professional Professional Modifier Low / Median / High Price $110.44 / $173.40 / $305.64	Professional		$110.44	$173.40	$305.64