Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $107.15 / $177.83	Facility		$75.86	$107.15	$177.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $194.98	Professional		$75.86	$75.86	$194.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $123.03 / $147.91	Facility		$70.79	$123.03	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $85.11	Professional		$75.86	$75.86	$85.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $158.49 / $190.55	Professional		$114.82	$158.49	$190.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $79.43 / $141.25	Facility		$75.86	$79.43	$141.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $79.43 / $117.49	Professional		$75.86	$79.43	$117.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $93.33 / $154.88	Facility		$74.13	$93.33	$154.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $79.43 / $138.04	Facility		$75.86	$79.43	$138.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $81.28 / $95.50	Professional		$75.86	$81.28	$95.50
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $128.82 / $223.87	Facility		$66.07	$128.82	$223.87
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $75.86 / $104.71	Professional		$72.44	$75.86	$104.71
United Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $181.97	Facility		$75.86	$75.86	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $85.11	Professional		$75.86	$75.86	$85.11