Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.52 / $104.25 / $19,162.16	Facility		$83.52	$104.25	$19,162.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.22 / $75.97 / $113.90	Professional		$75.22	$75.97	$113.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.95 / $130.30 / $152.86	Facility		$70.95	$130.30	$152.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.22 / $75.22 / $88.70	Professional		$75.22	$75.22	$88.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $127.44 / $168.77 / $201.71	Professional		$127.44	$168.77	$201.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $75.22 / $80.86 / $167.44	Facility		$75.22	$80.86	$167.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $75.22 / $81.33 / $97.79	Professional		$75.22	$81.33	$97.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $75.22 / $94.03 / $225.66	Facility		$75.22	$94.03	$225.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $75.22 / $83.25 / $161.72	Facility		$75.22	$83.25	$161.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $76.43 / $96.64 / $106.80	Professional		$76.43	$96.64	$106.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $89.14 / $140.06 / $294.55	Facility		$89.14	$140.06	$294.55
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $75.22 / $75.22 / $90.26	Professional		$75.22	$75.22	$90.26
United Facility/Professional Professional Modifier Low / Median / High Price $75.22 / $75.22 / $87.26	Professional		$75.22	$75.22	$87.26