Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $7,920.26 / $7,920.26	Facility		$2,747.00	$7,920.26	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.14 / $62.50 / $130.04	Professional		$19.14	$62.50	$130.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.04 / $29.04 / $155.65	Facility		$29.04	$29.04	$155.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.09 / $74.09 / $74.09	Professional		$74.09	$74.09	$74.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $41.03 / $116.78 / $207.79	Professional		$41.03	$116.78	$207.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.53 / $65.64 / $176.79	Facility		$30.53	$65.64	$176.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $36.22 / $70.80 / $189.27	Professional		$36.22	$70.80	$189.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $44.22 / $137.35 / $169.51	Facility		$44.22	$137.35	$169.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.53 / $70.20 / $199.95	Facility		$30.53	$70.20	$199.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $41.60 / $80.98 / $214.42	Professional		$41.60	$80.98	$214.42
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $492.49 / $617.05 / $738.99	Facility		$492.49	$617.05	$738.99
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $36.47 / $79.06 / $220.00	Professional		$36.47	$79.06	$220.00
United Facility/Professional Professional Modifier Low / Median / High Price $98.40 / $150.75 / $263.51	Professional		$98.40	$150.75	$263.51