Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.72 / $70.97 / $189.05	Facility		$44.72	$70.97	$189.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.23 / $33.72 / $85.79	Professional		$24.23	$33.72	$85.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.26 / $223.86 / $304.19	Facility		$26.26	$223.86	$304.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.29 / $55.52 / $87.58	Professional		$29.29	$55.52	$87.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $61.79 / $73.56 / $85.16	Professional		$61.79	$73.56	$85.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $27.94 / $52.59 / $80.54	Facility		$27.94	$52.59	$80.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $46.02 / $53.22 / $96.57	Professional		$46.02	$53.22	$96.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $37.79 / $54.27 / $63.65	Facility		$37.79	$54.27	$63.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $32.79 / $68.00 / $94.72	Facility		$32.79	$68.00	$94.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $46.03 / $66.50 / $90.25	Professional		$46.03	$66.50	$90.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $201.89 / $281.32 / $339.89	Facility		$201.89	$281.32	$339.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $52.33 / $65.08 / $86.65	Professional		$52.33	$65.08	$86.65
United Facility/Professional Professional Modifier Low / Median / High Price $27.31 / $36.47 / $87.87	Professional		$27.31	$36.47	$87.87