Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.64 / $73.30 / $337.00	Professional		$66.64	$73.30	$337.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.85 / $88.85 / $88.85	Facility		$88.85	$88.85	$88.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.86 / $64.86 / $88.85	Professional		$64.86	$64.86	$88.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $89.91 / $235.09 / $306.58	Professional		$89.91	$235.09	$306.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $77.05 / $105.56 / $128.44	Facility		$77.05	$105.56	$128.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $120.73 / $134.86	Professional		$95.50	$120.73	$134.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $101.95 / $115.60 / $128.44	Facility		$101.95	$115.60	$128.44
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $113.76 / $125.14 / $128.44	Professional		$113.76	$125.14	$128.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $74.56 / $110.18 / $134.86	Facility		$74.56	$110.18	$134.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $64.86 / $112.47 / $141.28	Professional		$64.86	$112.47	$141.28
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $107.01 / $213.60 / $450.62	Facility		$107.01	$213.60	$450.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $110.46 / $141.28 / $141.28	Professional		$110.46	$141.28	$141.28
United Facility/Professional Professional Modifier Low / Median / High Price $52.67 / $55.35 / $106.09	Professional		$52.67	$55.35	$106.09