Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.04 / $53.08 / $169.63	Facility		$23.04	$53.08	$169.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.08 / $53.61 / $182.00	Professional		$53.08	$53.61	$182.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.98 / $94.98 / $94.98	Facility		$94.98	$94.98	$94.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.49 / $47.49 / $47.49	Professional		$47.49	$47.49	$47.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $52.31 / $116.49 / $139.57	Professional		$52.31	$116.49	$139.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $53.08 / $75.90 / $132.80	Facility		$53.08	$75.90	$132.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $53.08 / $61.04 / $69.00	Professional		$53.08	$61.04	$69.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $53.08 / $84.93 / $79,999.20	Facility		$53.08	$84.93	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $53.08 / $75.90 / $132.80	Facility		$53.08	$75.90	$132.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $47.49 / $62.59 / $66.34	Professional		$47.49	$62.59	$66.34
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $54.72 / $84.93 / $193.86	Facility		$54.72	$84.93	$193.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $53.08 / $53.08 / $53.08	Professional		$53.08	$53.08	$53.08
United Facility/Professional Professional Modifier Low / Median / High Price $53.08 / $53.08 / $61.04	Professional		$53.08	$53.08	$61.04