Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.60 / $91.27 / $475.08	Professional		$62.60	$91.27	$475.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.25 / $99.25 / $99.25	Facility		$99.25	$99.25	$99.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.45 / $72.45 / $99.25	Professional		$72.45	$72.45	$99.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $105.05 / $264.89 / $345.51	Professional		$105.05	$264.89	$345.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $91.27 / $125.04 / $150.07	Facility		$91.27	$125.04	$150.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $111.59 / $141.07 / $157.57	Professional		$111.59	$141.07	$157.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $119.14 / $135.06 / $150.07	Facility		$119.14	$135.06	$150.07
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $125.20 / $135.06 / $150.07	Professional		$125.20	$135.06	$150.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $86.59 / $128.44 / $157.57	Facility		$86.59	$128.44	$157.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $72.45 / $131.41 / $165.08	Professional		$72.45	$131.41	$165.08
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $125.03 / $249.56 / $526.51	Facility		$125.03	$249.56	$526.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $129.06 / $165.08 / $165.08	Professional		$129.06	$165.08	$165.08
United Facility/Professional Facility Modifier Low / Median / High Price $82.54 / $82.54 / $82.54	Facility		$82.54	$82.54	$82.54
United Facility/Professional Professional Modifier Low / Median / High Price $58.79 / $62.46 / $119.17	Professional		$58.79	$62.46	$119.17