Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.03 / $106.03 / $106.03	Facility		$106.03	$106.03	$106.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.95 / $64.27 / $368.06	Professional		$63.95	$64.27	$368.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Facility		$45.00	$45.00	$45.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.25 / $45.00 / $100.67	Professional		$38.25	$45.00	$100.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $85.76 / $110.27 / $339.94	Professional		$85.76	$110.27	$339.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $63.95 / $112.78 / $150.06	Facility		$63.95	$112.78	$150.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.25 / $112.56 / $142.56	Professional		$12.25	$112.56	$142.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $122.52 / $132.85 / $147.61	Facility		$122.52	$132.85	$147.61
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $110.27 / $125.76 / $146.32	Professional		$110.27	$125.76	$146.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $107.41 / $150.06	Facility		$45.00	$107.41	$150.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $112.24 / $142.47	Professional		$45.00	$112.24	$142.47
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $180.35 / $180.35 / $212.14	Facility		$180.35	$180.35	$212.14
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $122.32 / $122.32 / $122.32	Professional		$122.32	$122.32	$122.32
United Facility/Professional Professional Modifier Low / Median / High Price $60.93 / $63.64 / $122.32	Professional		$60.93	$63.64	$122.32