Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.85 / $93.34 / $118.91	Professional		$84.85	$93.34	$118.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.60 / $102.60 / $102.60	Facility		$102.60	$102.60	$102.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.90 / $74.90 / $102.60	Professional		$74.90	$74.90	$102.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $123.34 / $299.00 / $389.98	Professional		$123.34	$299.00	$389.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $105.70 / $144.79 / $176.20	Facility		$105.70	$144.79	$176.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $131.01 / $165.63 / $185.01	Professional		$131.01	$165.63	$185.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $139.86 / $167.81 / $184.59	Facility		$139.86	$167.81	$184.59
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $158.58 / $176.20 / $184.59	Professional		$158.58	$176.20	$184.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $94.42 / $150.19 / $185.01	Facility		$94.42	$150.19	$185.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $74.90 / $154.29 / $193.82	Professional		$74.90	$154.29	$193.82
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $146.80 / $293.02 / $618.17	Facility		$146.80	$293.02	$618.17
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $151.53 / $193.82 / $193.82	Professional		$151.53	$193.82	$193.82
United Facility/Professional Professional Modifier Low / Median / High Price $67.34 / $70.48 / $134.47	Professional		$67.34	$70.48	$134.47