Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.47 / $137.25 / $717.25	Professional		$89.47	$137.25	$717.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.51 / $116.51 / $116.51	Facility		$116.51	$116.51	$116.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.05 / $85.05 / $116.51	Professional		$85.05	$85.05	$116.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $160.15 / $394.88 / $515.02	Professional		$160.15	$394.88	$515.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $135.65 / $188.03 / $228.79	Facility		$135.65	$188.03	$228.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $170.11 / $215.06 / $240.23	Professional		$170.11	$215.06	$240.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $181.60 / $205.08 / $228.79	Facility		$181.60	$205.08	$228.79
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $186.44 / $228.79 / $228.79	Professional		$186.44	$228.79	$228.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $116.51 / $196.49 / $240.23	Facility		$116.51	$196.49	$240.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $85.05 / $200.34 / $251.67	Professional		$85.05	$200.34	$251.67
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $190.62 / $380.48 / $802.68	Facility		$190.62	$380.48	$802.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $196.76 / $251.67 / $251.67	Professional		$196.76	$251.67	$251.67
United Facility/Professional Facility Modifier Low / Median / High Price $92.18 / $92.18 / $119.10	Facility		$92.18	$92.18	$119.10
United Facility/Professional Professional Modifier Low / Median / High Price $87.56 / $93.02 / $177.46	Professional		$87.56	$93.02	$177.46