Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $56.23 / $134.90	Facility		$37.15	$56.23	$134.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $22.91 / $45.71	Professional		$19.95	$22.91	$45.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $79.43 / $87.10	Facility		$48.98	$79.43	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $34.67 / $81.28	Professional		$17.38	$34.67	$81.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $102.33 / $120.23	Professional		$30.20	$102.33	$120.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $30.20 / $63.10	Facility		$28.84	$30.20	$63.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $34.67 / $46.77	Professional		$30.20	$34.67	$46.77
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $33.11 / $56.23	Facility		$30.20	$33.11	$56.23
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $41.69 / $87.10	Facility		$27.54	$41.69	$87.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $36.31 / $79.43	Professional		$28.84	$36.31	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $89.13 / $123.03	Facility		$44.67	$89.13	$123.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $27.54 / $36.31	Professional		$22.39	$27.54	$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 $12.59 / $12.59 / $36.31	Professional		$12.59	$12.59	$36.31