Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $75.86 / $141.25	Professional		$39.81	$75.86	$141.25
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $72.44 / $85.11 / $416.87	Professional	25	$72.44	$85.11	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $95.50 / $190.55	Professional		$54.95	$95.50	$190.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $107.15 / $208.93	Professional		$72.44	$107.15	$208.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $85.11 / $158.49	Facility		$44.67	$85.11	$158.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $100.00 / $177.83	Professional		$57.54	$100.00	$177.83
Moda Health Facility/Professional Professional Modifier 25 Low / Median / High Price $72.44 / $85.11 / $194.98	Professional	25	$72.44	$85.11	$194.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $154.88 / $169.82	Facility		$109.65	$154.88	$169.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $81.28 / $158.49	Facility		$42.66	$81.28	$158.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $104.71 / $186.21	Professional		$72.44	$104.71	$186.21
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $91.20 / $181.97	Professional		$50.12	$91.20	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $95.50 / $162.18	Professional		$54.95	$95.50	$162.18