Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.10 / $64.16 / $123.90	Facility		$53.10	$64.16	$123.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.13 / $31.86 / $64.16	Professional		$15.13	$31.86	$64.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.90 / $110.73 / $128.56	Facility		$71.90	$110.73	$128.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.24 / $46.67 / $79.31	Professional		$9.24	$46.67	$79.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $44.25 / $108.05 / $116.60	Professional		$44.25	$108.05	$116.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $22.13 / $44.25 / $92.28	Facility		$22.13	$44.25	$92.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $17.80 / $44.25 / $55.31	Professional		$17.80	$44.25	$55.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $44.25 / $48.68 / $97.68	Facility		$44.25	$48.68	$97.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $32.22 / $53.10 / $110.73	Facility		$32.22	$53.10	$110.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.16 / $48.68 / $61.95	Professional		$18.16	$48.68	$61.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $86.29 / $134.65 / $173.72	Facility		$86.29	$134.65	$173.72
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $16.02 / $40.27 / $109.13	Professional		$16.02	$40.27	$109.13
United Facility/Professional Professional Modifier Low / Median / High Price $8.01 / $18.59 / $44.25	Professional		$8.01	$18.59	$44.25