Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.65 / $79.69 / $510.40	Professional		$56.65	$79.69	$510.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.22 / $106.22 / $106.22	Facility		$106.22	$106.22	$106.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.54 / $77.54 / $106.22	Professional		$77.54	$77.54	$106.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $92.88 / $281.25 / $366.83	Professional		$92.88	$281.25	$366.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $79.59 / $109.04 / $135.88	Facility		$79.59	$109.04	$135.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $98.65 / $124.72 / $132.68	Professional		$98.65	$124.72	$132.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $105.31 / $129.57 / $145.94	Facility		$105.31	$129.57	$145.94
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $119.41 / $132.68 / $132.68	Professional		$119.41	$132.68	$132.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $79.59 / $113.94 / $139.31	Facility		$79.59	$113.94	$139.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $77.54 / $116.18 / $145.94	Professional		$77.54	$116.18	$145.94
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $110.54 / $220.64 / $465.49	Facility		$110.54	$220.64	$465.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $114.10 / $145.94 / $145.94	Professional		$114.10	$145.94	$145.94
United Facility/Professional Facility Modifier Low / Median / High Price $65.59 / $65.59 / $84.75	Facility		$65.59	$65.59	$84.75
United Facility/Professional Professional Modifier Low / Median / High Price $62.30 / $66.19 / $126.28	Professional		$62.30	$66.19	$126.28