Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.77 / $78.77 / $137.46	Facility		$78.77	$78.77	$137.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.75 / $30.65 / $30.65	Professional		$22.75	$30.65	$30.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.35 / $79.08 / $91.81	Facility		$51.35	$79.08	$91.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.59 / $36.34 / $45.43	Professional		$31.59	$36.34	$45.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.60 / $77.31 / $83.39	Professional		$31.60	$77.31	$83.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.43 / $31.60 / $65.90	Facility		$16.43	$31.60	$65.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $31.60 / $31.60 / $42.66	Professional		$31.60	$31.60	$42.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $31.60 / $33.18 / $44.24	Facility		$31.60	$33.18	$44.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.43 / $30.65 / $79.08	Facility		$16.43	$30.65	$79.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.02 / $34.76 / $44.24	Professional		$30.02	$34.76	$44.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $85.13 / $102.32 / $124.05	Facility		$85.13	$102.32	$124.05
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $28.39 / $37.85 / $77.95	Professional		$28.39	$37.85	$77.95
United Facility/Professional Professional Modifier Low / Median / High Price $13.27 / $13.27 / $37.92	Professional		$13.27	$13.27	$37.92