Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Facility		$104.71	$104.71	$104.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $85.11 / $131.83	Professional		$64.57	$85.11	$131.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Facility		$102.33	$102.33	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Professional		$74.13	$74.13	$74.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $309.03 / $380.19	Professional		$134.90	$309.03	$380.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $134.90 / $151.36	Facility		$104.71	$134.90	$151.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $141.25 / $190.55	Professional		$128.82	$141.25	$190.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $165.96 / $177.83	Facility		$141.25	$165.96	$177.83
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $177.83 / $177.83	Professional		$158.49	$177.83	$177.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $138.04 / $213.80	Facility		$85.11	$138.04	$213.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $154.88 / $186.21	Professional		$74.13	$154.88	$186.21
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $251.19 / $676.08	Facility		$147.91	$251.19	$676.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $199.53 / $199.53	Professional		$177.83	$199.53	$199.53
United Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $229.09 / $309.03	Facility		$69.18	$229.09	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $70.79 / $134.90	Professional		$63.10	$70.79	$134.90