Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.27 / $94.85 / $154.78	Facility		$77.27	$94.85	$154.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.39 / $78.16 / $184.68	Professional		$77.39	$78.16	$184.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.01 / $108.44 / $154.60	Facility		$73.01	$108.44	$154.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.39 / $77.39 / $83.96	Professional		$77.39	$77.39	$83.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $76.23 / $169.75 / $201.71	Professional		$76.23	$169.75	$201.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $77.39 / $110.67 / $166.39	Facility		$77.39	$110.67	$166.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $77.39 / $82.03 / $96.74	Professional		$77.39	$82.03	$96.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $77.26 / $96.59 / $160.97	Facility		$77.26	$96.59	$160.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $75.70 / $81.56 / $145.91	Facility		$75.70	$81.56	$145.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $77.39 / $83.96 / $95.79	Professional		$77.39	$83.96	$95.79
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $77.39 / $77.39 / $182.19	Facility		$77.39	$77.39	$182.19
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $77.39 / $77.39 / $77.39	Professional		$77.39	$77.39	$77.39
United Facility/Professional Professional Modifier Low / Median / High Price $77.39 / $77.39 / $77.39	Professional		$77.39	$77.39	$77.39