Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.80 / $119.17 / $662.84	Professional		$83.80	$119.17	$662.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $124.31 / $124.31 / $124.31	Facility		$124.31	$124.31	$124.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.75 / $90.75 / $124.31	Professional		$90.75	$90.75	$124.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $139.07 / $406.95 / $530.78	Professional		$139.07	$406.95	$530.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $119.17 / $163.26 / $198.67	Facility		$119.17	$163.26	$198.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $147.72 / $186.75 / $208.60	Professional		$147.72	$186.75	$208.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $157.71 / $198.67 / $256.23	Facility		$157.71	$198.67	$256.23
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $178.80 / $198.67 / $256.23	Professional		$178.80	$198.67	$256.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $115.54 / $170.64 / $208.60	Facility		$115.54	$170.64	$208.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $90.75 / $173.96 / $218.54	Professional		$90.75	$173.96	$218.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $165.52 / $330.38 / $696.99	Facility		$165.52	$330.38	$696.99
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $170.86 / $218.54 / $218.54	Professional		$170.86	$218.54	$218.54
United Facility/Professional Professional Modifier Low / Median / High Price $91.24 / $95.87 / $187.67	Professional		$91.24	$95.87	$187.67