Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $112.20 / $7,943.28	Facility		$40.74	$112.20	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $30.90 / $97.72	Professional		$10.47	$30.90	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $45.71 / $109.65	Professional		$20.42	$45.71	$109.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $51.29 / $112.20	Professional		$38.90	$51.29	$112.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $58.88 / $154.88	Facility		$24.55	$58.88	$154.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $56.23 / $117.49	Professional		$22.91	$56.23	$117.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $83.18 / $91.20	Facility		$37.15	$83.18	$91.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $50.12 / $95.50	Facility		$25.12	$50.12	$95.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $61.66 / $112.20	Professional		$23.44	$61.66	$112.20
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $61.66 / $112.20	Professional		$25.70	$61.66	$112.20
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 $19.05 / $28.84 / $64.57	Professional		$19.05	$28.84	$64.57