Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.44 / $46.48 / $7,920.26	Facility		$29.44	$46.48	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.10 / $49.42 / $86.01	Professional		$28.10	$49.42	$86.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.42 / $46.42 / $46.42	Professional		$46.42	$46.42	$46.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $61.55 / $83.55 / $125.97	Professional		$61.55	$83.55	$125.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $42.48 / $76.95 / $130.90	Facility		$42.48	$76.95	$130.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $52.31 / $83.26 / $142.80	Professional		$52.31	$83.26	$142.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $57.49 / $95.81 / $105.19	Facility		$57.49	$95.81	$105.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.48 / $83.88 / $135.58	Facility		$42.48	$83.88	$135.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.98 / $94.38 / $139.24	Professional		$60.98	$94.38	$139.24
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $57.00 / $90.06 / $149.71	Professional		$57.00	$90.06	$149.71
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $3,290.00 / $6,216.00	Facility		$376.00	$3,290.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $75.79 / $110.47 / $168.09	Professional		$75.79	$110.47	$168.09