Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.39 / $91.90 / $442.04	Professional		$67.39	$91.90	$442.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.06 / $99.06 / $99.06	Facility		$99.06	$99.06	$99.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.31 / $72.31 / $99.06	Professional		$72.31	$72.31	$99.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $107.24 / $296.88 / $387.18	Professional		$107.24	$296.88	$387.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $91.90 / $125.90 / $153.19	Facility		$91.90	$125.90	$153.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $113.91 / $144.01 / $160.86	Professional		$113.91	$144.01	$160.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $121.61 / $153.19 / $168.52	Facility		$121.61	$153.19	$168.52
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $137.88 / $153.19 / $158.71	Professional		$137.88	$153.19	$158.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $91.90 / $131.41 / $160.86	Facility		$91.90	$131.41	$160.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $72.31 / $134.15 / $168.52	Professional		$72.31	$134.15	$168.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $127.64 / $254.78 / $537.49	Facility		$127.64	$254.78	$537.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $131.75 / $168.52 / $168.52	Professional		$131.75	$168.52	$168.52
United Facility/Professional Professional Modifier Low / Median / High Price $66.58 / $69.95 / $133.47	Professional		$66.58	$69.95	$133.47