Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.08 / $72.81 / $347.45	Professional		$46.08	$72.81	$347.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.52 / $64.52 / $64.52	Facility		$64.52	$64.52	$64.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.10 / $47.10 / $64.52	Professional		$47.10	$47.10	$64.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $84.98 / $218.74 / $285.30	Professional		$84.98	$218.74	$285.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $72.81 / $99.76 / $121.40	Facility		$72.81	$99.76	$121.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $90.27 / $114.12 / $127.47	Professional		$90.27	$114.12	$127.47
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $96.36 / $109.95 / $121.40	Facility		$96.36	$109.95	$121.40
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $109.26 / $109.95 / $121.40	Professional		$109.26	$109.95	$121.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $64.52 / $104.13 / $127.47	Facility		$64.52	$104.13	$127.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $47.10 / $106.30 / $133.54	Professional		$47.10	$106.30	$133.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $101.14 / $201.88 / $425.90	Facility		$101.14	$201.88	$425.90
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $104.40 / $133.54 / $133.54	Professional		$104.40	$133.54	$133.54
United Facility/Professional Professional Modifier Low / Median / High Price $48.49 / $51.52 / $98.28	Professional		$48.49	$51.52	$98.28