Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Facility		$91.20	$91.20	$91.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $81.28 / $128.82	Professional		$64.57	$81.28	$128.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Professional		$72.44	$72.44	$72.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $302.00 / $371.54	Professional		$114.82	$302.00	$371.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $114.82 / $158.49	Facility		$91.20	$114.82	$158.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $120.23 / $162.18	Professional		$112.20	$120.23	$162.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $147.91 / $154.88	Facility		$120.23	$147.91	$154.88
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $151.36 / $154.88	Professional		$134.90	$151.36	$154.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $125.89 / $190.55	Facility		$79.43	$125.89	$190.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $131.83 / $158.49	Professional		$72.44	$131.83	$158.49
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $213.80 / $575.44	Facility		$125.89	$213.80	$575.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $169.82 / $169.82	Professional		$154.88	$169.82	$169.82
United Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $223.87 / $302.00	Facility		$91.20	$223.87	$302.00
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $69.18 / $131.83	Professional		$61.66	$69.18	$131.83