Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $162.18 / $6,606.93	Facility		$100.00	$162.18	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $72.44 / $162.18	Professional		$46.77	$72.44	$162.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $109.65 / $190.55	Professional		$63.10	$109.65	$190.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $123.03 / $190.55	Professional		$83.18	$123.03	$190.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $93.33 / $181.97	Facility		$50.12	$93.33	$181.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $125.89 / $186.21	Professional		$77.62	$125.89	$186.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $138.04 / $158.49	Facility		$102.33	$138.04	$158.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $91.20 / $158.49	Facility		$53.70	$91.20	$158.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $120.23 / $181.97	Professional		$79.43	$120.23	$181.97
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $134.90 / $177.83	Professional		$91.20	$134.90	$177.83
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $4,073.80 / $6,165.95	Facility		$389.05	$4,073.80	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $117.49 / $181.97	Professional		$74.13	$117.49	$181.97