Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $288.40 / $288.40	Facility		$61.66	$288.40	$288.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $47.86 / $77.62	Professional		$41.69	$47.86	$77.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $186.21	Facility		$104.71	$104.71	$186.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $74.13 / $91.20	Professional		$64.57	$74.13	$91.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $138.04 / $165.96	Professional		$64.57	$138.04	$165.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Facility		$64.57	$64.57	$64.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $70.79 / $87.10	Professional		$64.57	$70.79	$87.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $89.13	Facility		$64.57	$64.57	$89.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $89.13 / $186.21	Facility		$61.66	$89.13	$186.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $70.79 / $89.13	Professional		$64.57	$70.79	$89.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $190.55 / $251.19	Facility		$95.50	$190.55	$251.19
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $58.88 / $77.62	Professional		$47.86	$58.88	$77.62
United Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $102.33	Facility		$77.62	$77.62	$102.33
United Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $77.62	Professional		$26.92	$26.92	$77.62