Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.70 / $5,587.50 / $10,589.40	Facility		$40.70	$5,587.50	$10,589.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.56 / $40.70 / $1,760.00	Professional		$35.56	$40.70	$1,760.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.78 / $162.78 / $162.78	Facility		$162.78	$162.78	$162.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.54 / $88.54 / $88.54	Professional		$88.54	$88.54	$88.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $196.85 / $248.61 / $329.35	Professional		$196.85	$248.61	$329.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $42.84 / $51.90 / $111.59	Facility		$42.84	$51.90	$111.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $25.44 / $57.83	Professional		$12.59	$25.44	$57.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $40.70 / $40.70 / $170.85	Facility		$40.70	$40.70	$170.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.84 / $50.88 / $81.73	Facility		$42.84	$50.88	$81.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $46.81 / $50.88 / $88.54	Professional		$46.81	$50.88	$88.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $20.12 / $31.04 / $76.84	Facility		$20.12	$31.04	$76.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $40.70 / $40.70 / $40.70	Professional		$40.70	$40.70	$40.70
United Facility/Professional Professional Modifier Low / Median / High Price $42.84 / $42.84 / $49.27	Professional		$42.84	$42.84	$49.27