Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.93 / $65.81 / $150.00	Professional		$33.93	$65.81	$150.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.81 / $65.81 / $65.81	Facility		$65.81	$65.81	$65.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.04 / $48.04 / $65.81	Professional		$48.04	$48.04	$65.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $80.56 / $223.02 / $290.86	Professional		$80.56	$223.02	$290.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $69.03 / $94.57 / $115.08	Facility		$69.03	$94.57	$115.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $85.57 / $108.18 / $120.83	Professional		$85.57	$108.18	$120.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $91.35 / $115.08 / $131.09	Facility		$91.35	$115.08	$131.09
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $115.08 / $115.08 / $131.09	Professional		$115.08	$115.08	$131.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $65.81 / $98.71 / $120.83	Facility		$65.81	$98.71	$120.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.04 / $100.76 / $126.59	Professional		$48.04	$100.76	$126.59
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $95.87 / $191.36 / $403.71	Facility		$95.87	$191.36	$403.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $98.97 / $126.59 / $126.59	Professional		$98.97	$126.59	$126.59
United Facility/Professional Facility Modifier Low / Median / High Price $168.53 / $168.53 / $224.70	Facility		$168.53	$168.53	$224.70
United Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $52.55 / $100.25	Professional		$50.00	$52.55	$100.25