Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $371.54 / $380.19	Facility		$81.28	$371.54	$380.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $7.08 / $81.28	Professional		$7.08	$7.08	$81.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $245.47	Facility		$134.90	$134.90	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $95.50 / $120.23	Professional		$83.18	$95.50	$120.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $181.97 / $213.80	Professional		$83.18	$181.97	$213.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $83.18 / $83.18	Facility		$83.18	$83.18	$83.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $91.20 / $114.82	Professional		$83.18	$91.20	$114.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $91.20 / $131.83	Facility		$75.86	$91.20	$131.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $117.49 / $245.47	Facility		$81.28	$117.49	$245.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $87.10 / $114.82	Professional		$79.43	$87.10	$114.82
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $245.47 / $331.13	Facility		$125.89	$245.47	$331.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $75.86 / $100.00	Professional		$63.10	$75.86	$100.00
United Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $134.90	Facility		$100.00	$100.00	$134.90
United Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $100.00	Professional		$35.48	$35.48	$100.00