Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.02 / $182.76 / $205.31	Facility		$73.02	$182.76	$205.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.94 / $63.79 / $63.79	Professional		$56.94	$63.79	$63.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.66 / $130.66 / $130.66	Facility		$130.66	$130.66	$130.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.33 / $65.33 / $65.33	Professional		$65.33	$65.33	$65.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $84.73 / $99.40 / $103.65	Professional		$84.73	$99.40	$103.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $63.79 / $84.55 / $137.15	Facility		$63.79	$84.55	$137.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $73.02 / $90.45	Facility		$59.40	$73.02	$90.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $63.79 / $91.28 / $146.04	Facility		$63.79	$91.28	$146.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $65.33 / $91.28 / $114.64	Professional		$65.33	$91.28	$114.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $73.02 / $73.02 / $73.02	Professional		$73.02	$73.02	$73.02
United Facility/Professional Professional Modifier Low / Median / High Price $64.05 / $64.05 / $73.66	Professional		$64.05	$64.05	$73.66