Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.98 / $45.14 / $176.42	Professional		$29.98	$45.14	$176.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.95 / $24.95 / $24.95	Professional		$24.95	$24.95	$24.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $103.19 / $127.00 / $149.13	Professional		$103.19	$127.00	$149.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $45.14 / $61.14 / $154.87	Facility		$45.14	$61.14	$154.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $47.87 / $58.08 / $64.20	Professional		$47.87	$58.08	$64.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $55.03 / $61.14 / $67.25	Facility		$55.03	$61.14	$67.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $45.14 / $61.14 / $154.80	Facility		$45.14	$61.14	$154.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.95 / $53.54 / $65.68	Professional		$24.95	$53.54	$65.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $63.89 / $67.25 / $67.25	Professional		$63.89	$67.25	$67.25
United Facility/Professional Professional Modifier Low / Median / High Price $24.77 / $25.93 / $49.47	Professional		$24.77	$25.93	$49.47