Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.73 / $77.39 / $423.83	Professional		$47.73	$77.39	$423.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.84 / $68.84 / $68.84	Facility		$68.84	$68.84	$68.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.25 / $50.25 / $68.84	Professional		$50.25	$50.25	$68.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $89.08 / $233.66 / $304.75	Professional		$89.08	$233.66	$304.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $77.39 / $106.02 / $127.25	Facility		$77.39	$106.02	$127.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $94.62 / $119.62 / $127.25	Professional		$94.62	$119.62	$127.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $101.01 / $114.53 / $127.25	Facility		$101.01	$114.53	$127.25
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $101.09 / $114.53 / $127.25	Professional		$101.09	$114.53	$127.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $68.84 / $109.31 / $133.61	Facility		$68.84	$109.31	$133.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $50.25 / $111.43 / $139.97	Professional		$50.25	$111.43	$139.97
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $106.02 / $211.62 / $446.46	Facility		$106.02	$211.62	$446.46
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $109.44 / $139.97 / $139.97	Professional		$109.44	$139.97	$139.97
United Facility/Professional Professional Modifier Low / Median / High Price $52.51 / $54.96 / $104.86	Professional		$52.51	$54.96	$104.86