Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $70.79 / $114.82	Facility		$56.23	$70.79	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $42.66 / $93.33	Professional		$25.70	$42.66	$93.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Facility		$77.62	$77.62	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $64.57 / $109.65	Professional		$38.02	$64.57	$109.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $72.44 / $107.15	Professional		$47.86	$72.44	$107.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $58.88 / $100.00	Facility		$31.62	$58.88	$100.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $72.44 / $104.71	Professional		$45.71	$72.44	$104.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $83.18 / $87.10	Facility		$61.66	$83.18	$87.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $58.88 / $100.00	Facility		$32.36	$58.88	$100.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $77.62 / $109.65	Professional		$52.48	$77.62	$109.65
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $501.19 / $602.56	Facility		$380.19	$501.19	$602.56
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $77.62 / $109.65	Professional		$51.29	$77.62	$109.65
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $1,071.52 / $6,165.95	Facility		$389.05	$1,071.52	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $66.07 / $104.71	Professional		$42.66	$66.07	$104.71