Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.49 / $73.09 / $141.15	Facility		$60.49	$73.09	$141.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.90 / $58.85 / $73.09	Professional		$48.90	$58.85	$73.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.93 / $132.72 / $180.50	Facility		$81.93	$132.72	$180.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.94 / $57.82 / $90.47	Professional		$36.94	$57.82	$90.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $50.41 / $123.04 / $132.77	Professional		$50.41	$123.04	$132.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $36.79 / $54.55 / $113.24	Facility		$36.79	$54.55	$113.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $50.41 / $60.49 / $82.98	Professional		$50.41	$60.49	$82.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $50.41 / $67.50 / $111.28	Facility		$50.41	$67.50	$111.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $50.41 / $61.00 / $146.19	Facility		$50.41	$61.00	$146.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $50.41 / $60.49 / $82.52	Professional		$50.41	$60.49	$82.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $98.30 / $155.60 / $208.26	Facility		$98.30	$155.60	$208.26
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $45.19 / $64.26 / $123.90	Professional		$45.19	$64.26	$123.90
United Facility/Professional Professional Modifier Low / Median / High Price $21.17 / $28.81 / $71.22	Professional		$21.17	$28.81	$71.22