Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.92 / $81.84 / $440.27	Professional		$71.92	$81.84	$440.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.16 / $85.16 / $85.16	Facility		$85.16	$85.16	$85.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.17 / $62.17 / $85.16	Professional		$62.17	$62.17	$85.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $95.40 / $288.35 / $376.07	Professional		$95.40	$288.35	$376.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $81.75 / $112.00 / $139.59	Facility		$81.75	$112.00	$139.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $101.33 / $129.47 / $143.09	Professional		$101.33	$129.47	$143.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $108.18 / $133.09 / $149.91	Facility		$108.18	$133.09	$149.91
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $122.65 / $136.28 / $149.91	Professional		$122.65	$136.28	$149.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $81.75 / $119.33 / $143.09	Facility		$81.75	$119.33	$143.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $62.17 / $119.33 / $149.91	Professional		$62.17	$119.33	$149.91
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $113.54 / $226.62 / $478.11	Facility		$113.54	$226.62	$478.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $117.20 / $149.91 / $149.91	Professional		$117.20	$149.91	$149.91
United Facility/Professional Professional Modifier Low / Median / High Price $64.00 / $67.98 / $129.71	Professional		$64.00	$67.98	$129.71