Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Facility		$123.03	$123.03	$123.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.93 / $102.36 / $123.03	Professional		$60.93	$102.36	$123.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.53 / $11.53 / $11.53	Facility		$11.53	$11.53	$11.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.25 / $13.40 / $280.02	Professional		$10.25	$13.40	$280.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $20.34 / $26.07	Professional		$14.79	$20.34	$26.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $112.92 / $135.33	Facility		$16.98	$112.92	$135.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $12.06 / $19.18 / $20.10	Facility		$12.06	$19.18	$20.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.00 / $112.92 / $135.33	Facility		$16.00	$112.92	$135.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.40 / $138.60 / $184.80	Professional		$13.40	$138.60	$184.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $24.62 / $167.32 / $228.78	Professional		$24.62	$167.32	$228.78
United Facility/Professional Professional Modifier Low / Median / High Price $88.93 / $206.37 / $320.12	Professional		$88.93	$206.37	$320.12