Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.89 / $67.89 / $159.74	Facility		$67.89	$67.89	$159.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.29 / $66.29 / $67.89	Professional		$66.29	$66.29	$67.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.60 / $87.60 / $87.60	Facility		$87.60	$87.60	$87.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.89 / $67.89 / $67.89	Professional		$67.89	$67.89	$67.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $74.63 / $166.19 / $199.16	Professional		$74.63	$166.19	$199.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $31.75 / $87.86 / $142.52	Facility		$31.75	$87.86	$142.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.98 / $24.77 / $44.95	Professional		$18.98	$24.77	$44.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $79,999.20 / $79,999.20 / $79,999.20	Facility		$79,999.20	$79,999.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $44.36 / $70.98 / $127.13	Facility		$44.36	$70.98	$127.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.48 / $48.80 / $186.03	Professional		$23.48	$48.80	$186.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $67.89 / $67.89 / $67.89	Professional		$67.89	$67.89	$67.89
United Facility/Professional Professional Modifier Low / Median / High Price $66.56 / $66.56 / $66.56	Professional		$66.56	$66.56	$66.56