Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.24 / $135.02 / $285.76	Facility		$31.24	$135.02	$285.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.14 / $60.23 / $462.21	Professional		$40.14	$60.23	$462.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.64 / $86.64 / $86.64	Facility		$86.64	$86.64	$86.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.25 / $63.25 / $86.64	Professional		$63.25	$63.25	$86.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $90.71 / $264.19 / $344.58	Professional		$90.71	$264.19	$344.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $77.73 / $106.49 / $129.59	Facility		$77.73	$106.49	$129.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $95.39 / $120.22 / $129.59	Professional		$95.39	$120.22	$129.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $102.85 / $124.66 / $137.13	Facility		$102.85	$124.66	$137.13
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $102.85 / $124.66 / $129.59	Professional		$102.85	$124.66	$129.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $74.95 / $113.47 / $136.07	Facility		$74.95	$113.47	$136.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $63.25 / $113.47 / $142.55	Professional		$63.25	$113.47	$142.55
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $107.96 / $215.48 / $454.63	Facility		$107.96	$215.48	$454.63
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $111.45 / $142.55 / $142.55	Professional		$111.45	$142.55	$142.55
United Facility/Professional Professional Modifier Low / Median / High Price $58.54 / $62.19 / $119.20	Professional		$58.54	$62.19	$119.20