Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $117.49 / $117.49	Facility		$100.00	$117.49	$117.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $100.00 / $120.23	Professional		$95.50	$100.00	$120.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $204.17 / $204.17	Facility		$102.33	$204.17	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Professional		$102.33	$102.33	$102.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $257.04 / $323.59	Professional		$151.36	$257.04	$323.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $141.25 / $144.54	Facility		$100.00	$141.25	$144.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $245.47 / $316.23	Professional		$151.36	$245.47	$316.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $120.23 / $223.87	Facility		$100.00	$120.23	$223.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $125.89 / $151.36	Professional		$79.43	$125.89	$151.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Professional		$125.89	$125.89	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $125.89 / $125.89	Professional		$100.00	$125.89	$125.89