Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.10 / $45.85 / $55.11	Professional		$35.10	$45.85	$55.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.84 / $48.84 / $48.84	Facility		$48.84	$48.84	$48.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.88 / $183.98 / $183.98	Professional		$68.88	$183.98	$183.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $75.06 / $91.61 / $105.04	Professional		$75.06	$91.61	$105.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $35.10 / $55.11 / $78.81	Facility		$35.10	$55.11	$78.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $43.23 / $61.44 / $78.98	Facility		$43.23	$61.44	$78.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $35.10 / $55.11 / $100.58	Facility		$35.10	$55.11	$100.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $62.97 / $80.95 / $183.98	Professional		$62.97	$80.95	$183.98
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $307.31 / $396.76 / $478.20	Facility		$307.31	$396.76	$478.20
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $71.48 / $90.68 / $125.07	Professional		$71.48	$90.68	$125.07
United Facility/Professional Professional Modifier Low / Median / High Price $65.05 / $97.39 / $140.93	Professional		$65.05	$97.39	$140.93