Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.68 / $71.45 / $384.30	Professional		$51.68	$71.45	$384.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.88 / $91.88 / $91.88	Facility		$91.88	$91.88	$91.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.06 / $67.06 / $90.82	Professional		$67.06	$67.06	$90.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $83.38 / $243.61 / $317.73	Professional		$83.38	$243.61	$317.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $71.45 / $97.89 / $119.11	Facility		$71.45	$97.89	$119.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $88.57 / $111.96 / $125.07	Professional		$88.57	$111.96	$125.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $94.56 / $119.11 / $143.85	Facility		$94.56	$119.11	$143.85
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $107.20 / $119.11 / $143.85	Professional		$107.20	$119.11	$143.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $71.45 / $102.31 / $125.07	Facility		$71.45	$102.31	$125.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $67.06 / $104.30 / $131.02	Professional		$67.06	$104.30	$131.02
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $99.24 / $198.08 / $417.89	Facility		$99.24	$198.08	$417.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $102.43 / $131.02 / $131.02	Professional		$102.43	$131.02	$131.02
United Facility/Professional Professional Modifier Low / Median / High Price $54.76 / $57.31 / $109.35	Professional		$54.76	$57.31	$109.35