Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $117.49 / $501.19	Professional		$87.10	$117.49	$501.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Professional		$58.88	$58.88	$58.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $269.15 / $338.84	Professional		$144.54	$269.15	$338.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $125.89 / $181.97	Facility		$107.15	$125.89	$181.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $117.49 / $158.49	Professional		$107.15	$117.49	$158.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $141.25	Facility		$138.04	$138.04	$141.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $128.82 / $181.97	Facility		$107.15	$128.82	$181.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $100.00 / $134.90	Professional		$58.88	$100.00	$134.90
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $158.49 / $158.49	Professional		$151.36	$158.49	$158.49
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $60.26 / $112.20	Professional		$57.54	$60.26	$112.20