Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.04 / $76.05 / $102.18	Professional		$76.04	$76.05	$102.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.98 / $92.98 / $92.98	Facility		$92.98	$92.98	$92.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.88 / $67.88 / $92.98	Professional		$67.88	$67.88	$92.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $104.22 / $268.47 / $350.13	Professional		$104.22	$268.47	$350.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $89.31 / $122.35 / $148.88	Facility		$89.31	$122.35	$148.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $110.70 / $139.94 / $156.32	Professional		$110.70	$139.94	$156.32
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $118.19 / $145.07 / $159.58	Facility		$118.19	$145.07	$159.58
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $145.07 / $148.88 / $148.88	Professional		$145.07	$148.88	$148.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $88.42 / $127.71 / $156.32	Facility		$88.42	$127.71	$156.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $67.88 / $130.37 / $163.77	Professional		$67.88	$130.37	$163.77
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $124.04 / $247.58 / $522.34	Facility		$124.04	$247.58	$522.34
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $128.04 / $163.77 / $163.77	Professional		$128.04	$163.77	$163.77
United Facility/Professional Professional Modifier Low / Median / High Price $60.11 / $63.16 / $120.51	Professional		$60.11	$63.16	$120.51