Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $60.26 / $177.83	Facility		$48.98	$60.26	$177.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $36.31 / $70.79	Professional		$25.70	$36.31	$70.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $102.33 / $125.89	Facility		$63.10	$102.33	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $42.66 / $77.62	Professional		$23.44	$42.66	$77.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $85.11 / $102.33	Professional		$38.90	$85.11	$102.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $81.28	Facility		$38.90	$38.90	$81.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $47.86 / $70.79	Professional		$38.90	$47.86	$70.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $75.86	Facility		$38.90	$38.90	$75.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $57.54 / $114.82	Facility		$37.15	$57.54	$114.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $51.29 / $79.43	Professional		$35.48	$51.29	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $117.49 / $162.18	Facility		$58.88	$117.49	$162.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $33.11 / $46.77	Professional		$31.62	$33.11	$46.77
United Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $46.77 / $63.10	Facility		$46.77	$46.77	$63.10
United Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $19.95 / $46.77	Professional		$16.60	$19.95	$46.77