Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.59 / $80.13 / $129.90	Facility		$43.59	$80.13	$129.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.02 / $29.83 / $40.69	Professional		$22.02	$29.83	$40.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.03 / $87.82 / $126.01	Facility		$57.03	$87.82	$126.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.30 / $45.53 / $68.73	Professional		$22.30	$45.53	$68.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $76.70 / $91.91	Professional		$35.09	$76.70	$91.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $25.97 / $36.84 / $77.20	Facility		$25.97	$36.84	$77.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $35.09 / $47.80	Professional		$35.09	$35.09	$47.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $35.09 / $36.84 / $77.45	Facility		$35.09	$36.84	$77.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $36.84 / $44.39 / $101.76	Facility		$36.84	$44.39	$101.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.53 / $42.46 / $56.15	Professional		$38.53	$42.46	$56.15
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $68.43 / $108.33 / $144.97	Facility		$68.43	$108.33	$144.97
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $62.24 / $68.84 / $110.84	Professional		$62.24	$68.84	$110.84
United Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $14.74 / $42.11	Professional		$14.74	$14.74	$42.11