Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.70 / $96.31 / $117.83	Professional		$73.70	$96.31	$117.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.50 / $152.83 / $231.01	Professional		$82.50	$152.83	$231.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $87.44 / $173.39 / $208.58	Professional		$87.44	$173.39	$208.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $66.90 / $98.98 / $208.27	Facility		$66.90	$98.98	$208.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $91.02 / $133.19 / $172.80	Professional		$91.02	$133.19	$172.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $107.10 / $164.39 / $176.80	Facility		$107.10	$164.39	$176.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $75.11 / $107.22 / $216.63	Facility		$75.11	$107.22	$216.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $99.45 / $154.84 / $220.45	Professional		$99.45	$154.84	$220.45
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $89.70 / $147.30 / $230.04	Professional		$89.70	$147.30	$230.04
United Facility/Professional Professional Modifier Low / Median / High Price $99.84 / $149.27 / $251.89	Professional		$99.84	$149.27	$251.89