Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.40 / $100.40 / $100.40	Facility		$100.40	$100.40	$100.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.11 / $98.11 / $113.80	Professional		$98.11	$98.11	$113.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.55 / $132.41 / $188.52	Facility		$92.55	$132.41	$188.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.11 / $98.11 / $115.69	Professional		$98.11	$98.11	$115.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $178.00 / $232.51 / $267.70	Professional		$178.00	$232.51	$267.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $98.11 / $100.40 / $258.76	Facility		$98.11	$100.40	$258.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $98.11 / $103.99 / $122.64	Professional		$98.11	$103.99	$122.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $94.72 / $100.40 / $208.38	Facility		$94.72	$100.40	$208.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $98.11 / $116.96 / $294.16	Facility		$98.11	$116.96	$294.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $98.11 / $282.39 / $294.16	Professional		$98.11	$282.39	$294.16
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $93.20 / $98.11 / $98.11	Professional		$93.20	$98.11	$98.11
United Facility/Professional Professional Modifier Low / Median / High Price $98.11 / $98.11 / $112.83	Professional		$98.11	$98.11	$112.83