Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.85 / $62.43 / $150.13	Professional		$48.85	$62.43	$150.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.02 / $107.78 / $153.24	Professional		$59.02	$107.78	$153.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $107.19 / $119.40 / $150.63	Professional		$107.19	$119.40	$150.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $69.83 / $94.80 / $141.16	Professional		$69.83	$94.80	$141.16
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $77.98 / $131.91 / $131.91	Professional		$77.98	$131.91	$131.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $75.05 / $113.40 / $148.08	Professional		$75.05	$113.40	$148.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $71.40 / $115.43 / $154.00	Professional		$71.40	$115.43	$154.00
United Facility/Professional Professional Modifier Low / Median / High Price $73.26 / $106.39 / $163.05	Professional		$73.26	$106.39	$163.05