Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.20 / $58.25 / $112.48	Facility		$48.20	$58.25	$112.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.40 / $38.96 / $58.25	Professional		$12.40	$38.96	$58.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.28 / $100.52 / $116.71	Facility		$65.28	$100.52	$116.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.46 / $42.50 / $72.26	Professional		$7.46	$42.50	$72.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $40.17 / $97.82 / $105.53	Professional		$40.17	$97.82	$105.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.08 / $31.00 / $83.76	Facility		$10.08	$31.00	$83.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.25 / $40.17 / $48.20	Professional		$14.25	$40.17	$48.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $36.15 / $42.18 / $88.68	Facility		$36.15	$42.18	$88.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.26 / $48.20 / $87.57	Facility		$29.26	$48.20	$87.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.40 / $44.19 / $56.24	Professional		$13.40	$44.19	$56.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $70.30 / $118.58 / $157.69	Facility		$70.30	$118.58	$157.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $10.61 / $35.92 / $99.28	Professional		$10.61	$35.92	$99.28
United Facility/Professional Facility Modifier Low / Median / High Price $6.52 / $6.52 / $40.17	Facility		$6.52	$6.52	$40.17
United Facility/Professional Professional Modifier Low / Median / High Price $5.92 / $16.87 / $48.20	Professional		$5.92	$16.87	$48.20