Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $45.71 / $134.90	Facility		$37.15	$45.71	$134.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $83.18 / $199.53	Professional		$43.65	$83.18	$199.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $48.98 / $87.10	Facility		$48.98	$48.98	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $30.20 / $53.70	Professional		$7.94	$30.20	$53.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $64.57 / $77.62	Professional		$30.20	$64.57	$77.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Facility		$30.20	$30.20	$30.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $30.20 / $40.74	Professional		$16.60	$30.20	$40.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $56.23	Facility		$30.20	$30.20	$56.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $41.69 / $89.13	Facility		$15.14	$41.69	$89.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $33.11 / $79.43	Professional		$16.22	$33.11	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $87.10 / $117.49	Facility		$44.67	$87.10	$117.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $25.70 / $36.31	Professional		$12.30	$25.70	$36.31
United Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $47.86	Facility		$36.31	$36.31	$47.86
United Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $12.59 / $36.31	Professional		$6.92	$12.59	$36.31