Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.23 / $65.66 / $126.78	Facility		$45.23	$65.66	$126.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.22 / $45.23 / $60.22	Professional		$45.22	$45.23	$60.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.58 / $113.31 / $131.55	Facility		$73.58	$113.31	$131.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.51 / $52.04 / $81.06	Professional		$24.51	$52.04	$81.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $45.28 / $110.43 / $119.15	Professional		$45.28	$110.43	$119.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $45.23 / $45.28 / $97.24	Facility		$45.23	$45.28	$97.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $45.28 / $52.07 / $61.13	Professional		$45.28	$52.07	$61.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $45.28 / $49.81 / $67.92	Facility		$45.28	$49.81	$67.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $45.23 / $54.34 / $113.31	Facility		$45.23	$54.34	$113.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $42.97 / $49.81 / $63.32	Professional		$42.97	$49.81	$63.32
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $76.70 / $121.98 / $165.38	Facility		$76.70	$121.98	$165.38
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $31.01 / $54.07 / $111.59	Professional		$31.01	$54.07	$111.59
United Facility/Professional Professional Modifier Low / Median / High Price $27.14 / $27.14 / $45.23	Professional		$27.14	$27.14	$45.23