Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.97 / $73.12 / $346.86	Professional		$41.97	$73.12	$346.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.82 / $59.82 / $59.82	Facility		$59.82	$59.82	$59.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.67 / $43.67 / $59.82	Professional		$43.67	$43.67	$59.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $84.15 / $191.04 / $249.16	Professional		$84.15	$191.04	$249.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $73.12 / $92.81 / $120.21	Facility		$73.12	$92.81	$120.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $89.39 / $113.00 / $120.21	Professional		$89.39	$113.00	$120.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $88.05 / $102.18 / $120.21	Facility		$88.05	$102.18	$120.21
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $90.16 / $114.20 / $120.21	Professional		$90.16	$114.20	$120.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $59.82 / $100.17 / $126.22	Facility		$59.82	$100.17	$126.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $43.67 / $105.26 / $132.22	Professional		$43.67	$105.26	$132.22
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $100.16 / $199.92 / $421.73	Facility		$100.16	$199.92	$421.73
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $103.38 / $132.22 / $132.22	Professional		$103.38	$132.22	$132.22
United Facility/Professional Facility Modifier Low / Median / High Price $144.25 / $144.25 / $192.34	Facility		$144.25	$144.25	$192.34
United Facility/Professional Professional Modifier Low / Median / High Price $42.98 / $44.98 / $86.22	Professional		$42.98	$44.98	$86.22