Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.96 / $152.06 / $422.22	Facility		$46.96	$152.06	$422.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.17 / $64.93 / $119.73	Professional		$23.17	$64.93	$119.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.72 / $77.29 / $165.17	Professional		$36.72	$77.29	$165.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $44.99 / $66.55 / $147.91	Professional		$44.99	$66.55	$147.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $31.29 / $62.05 / $161.50	Facility		$31.29	$62.05	$161.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $39.04 / $95.54 / $156.33	Professional		$39.04	$95.54	$156.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $44.89 / $118.03 / $146.06	Facility		$44.89	$118.03	$146.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $31.29 / $109.67 / $165.42	Facility		$31.29	$109.67	$165.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $79.22 / $166.12	Professional		$45.00	$79.22	$166.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $47.99 / $74.48 / $170.82	Professional		$47.99	$74.48	$170.82
United Facility/Professional Professional Modifier Low / Median / High Price $96.60 / $142.80 / $191.51	Professional		$96.60	$142.80	$191.51