Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.40 / $108.40 / $108.40	Facility		$108.40	$108.40	$108.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.40 / $81.29 / $112.99	Professional		$70.40	$81.29	$112.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.34 / $91.34 / $91.34	Facility		$91.34	$91.34	$91.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.06 / $104.25 / $221.75	Professional		$56.06	$104.25	$221.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $116.76 / $155.72 / $204.23	Professional		$116.76	$155.72	$204.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $71.34 / $108.40 / $175.23	Facility		$71.34	$108.40	$175.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $95.00 / $59,999.40 / $59,999.40	Professional		$95.00	$59,999.40	$59,999.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $134.63 / $160.52 / $164.15	Facility		$134.63	$160.52	$164.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $71.34 / $108.40 / $175.23	Facility		$71.34	$108.40	$175.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $112.09 / $221.83	Professional		$51.00	$112.09	$221.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $113.19 / $163.29 / $210.46	Professional		$113.19	$163.29	$210.46
United Facility/Professional Professional Modifier Low / Median / High Price $125.84 / $162.15 / $258.22	Professional		$125.84	$162.15	$258.22