Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.68 / $267.87 / $7,920.26	Facility		$53.68	$267.87	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.03 / $55.75 / $285.01	Professional		$21.03	$55.75	$285.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.79 / $63.92 / $137.21	Professional		$34.79	$63.92	$137.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.83 / $51.41 / $116.07	Professional		$38.83	$51.41	$116.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $27.82 / $53.95 / $114.00	Facility		$27.82	$53.95	$114.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $35.75 / $78.98 / $128.66	Professional		$35.75	$78.98	$128.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $32.65 / $86.64 / $101.17	Facility		$32.65	$86.64	$101.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.82 / $65.66 / $129.57	Facility		$27.82	$65.66	$129.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $40.64 / $67.91 / $128.35	Professional		$40.64	$67.91	$128.35
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $41.43 / $70.22 / $143.07	Professional		$41.43	$70.22	$143.07
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $3,290.00 / $6,216.00	Facility		$376.00	$3,290.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $66.44 / $98.16 / $156.09	Professional		$66.44	$98.16	$156.09