Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.75 / $70.88 / $340.89	Professional		$54.75	$70.88	$340.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.56 / $67.56 / $67.56	Facility		$67.56	$67.56	$67.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.33 / $49.33 / $67.56	Professional		$49.33	$49.33	$67.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $82.71 / $229.41 / $299.19	Professional		$82.71	$229.41	$299.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $70.12 / $97.11 / $118.15	Facility		$70.12	$97.11	$118.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $87.85 / $111.06 / $124.06	Professional		$87.85	$111.06	$124.06
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $93.78 / $118.15 / $129.97	Facility		$93.78	$118.15	$129.97
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $93.78 / $118.15 / $122.39	Professional		$93.78	$118.15	$122.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $67.56 / $101.36 / $124.06	Facility		$67.56	$101.36	$124.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $49.33 / $103.46 / $129.97	Professional		$49.33	$103.46	$129.97
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $98.44 / $196.48 / $414.52	Facility		$98.44	$196.48	$414.52
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $101.61 / $129.97 / $129.97	Professional		$101.61	$129.97	$129.97
United Facility/Professional Professional Modifier Low / Median / High Price $51.55 / $53.95 / $102.93	Professional		$51.55	$53.95	$102.93