Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.78 / $76.00 / $299.08	Professional		$32.78	$76.00	$299.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.55 / $45.55 / $86.24	Professional		$45.55	$45.55	$86.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $72.56 / $200.99 / $245.69	Professional		$72.56	$200.99	$245.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $72.23 / $90.85 / $107.66	Facility		$72.23	$90.85	$107.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $76.31 / $93.29 / $103.66	Professional		$76.31	$93.29	$103.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $82.29 / $103.66 / $114.03	Facility		$82.29	$103.66	$114.03
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $90.59 / $103.66 / $107.56	Professional		$90.59	$103.66	$107.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $63.86 / $90.76 / $104.12	Facility		$63.86	$90.76	$104.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $45.55 / $90.76 / $116.92	Professional		$45.55	$90.76	$116.92
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $89.15 / $114.03 / $114.03	Professional		$89.15	$114.03	$114.03
United Facility/Professional Professional Modifier Low / Median / High Price $44.57 / $47.35 / $90.33	Professional		$44.57	$47.35	$90.33