Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.19 / $84.95 / $125.20	Professional		$84.19	$84.95	$125.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $36.00 / $202.00	Professional		$27.00	$36.00	$202.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $170.00 / $178.00	Professional		$150.00	$170.00	$178.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $84.95 / $84.95 / $175.00	Facility		$84.95	$84.95	$175.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $161.94 / $13,910.16 / $18,772.80	Professional		$161.94	$13,910.16	$18,772.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $262.83 / $400.22 / $426.12	Facility		$262.83	$400.22	$426.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $84.95 / $84.95 / $160.68	Facility		$84.95	$84.95	$160.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $36.00 / $202.00	Professional		$27.00	$36.00	$202.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $55.16 / $55.16 / $71.89	Professional		$55.16	$55.16	$71.89
United Facility/Professional Facility Modifier Low / Median / High Price $233.00 / $233.00 / $233.00	Facility		$233.00	$233.00	$233.00