Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $74.13 / $218.78	Facility		$60.26	$74.13	$218.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $40.74 / $87.10	Professional		$28.84	$40.74	$87.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $125.89 / $141.25	Facility		$77.62	$125.89	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $52.48 / $89.13	Professional		$23.44	$52.48	$89.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $102.33 / $125.89	Professional		$47.86	$102.33	$125.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $47.86 / $104.71	Facility		$46.77	$47.86	$104.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $57.54 / $70.79	Professional		$47.86	$57.54	$70.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $47.86 / $91.20	Facility		$47.86	$47.86	$91.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $69.18 / $141.25	Facility		$45.71	$69.18	$141.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $57.54 / $79.43	Professional		$43.65	$57.54	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $144.54 / $199.53	Facility		$72.44	$144.54	$199.53
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $40.74 / $57.54	Professional		$38.90	$40.74	$57.54
United Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $77.62	Facility		$57.54	$57.54	$77.62
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $20.42 / $57.54	Professional		$19.95	$20.42	$57.54