Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.88 / $59.02 / $113.96	Facility		$50.88	$59.02	$113.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.30 / $34.60 / $120.88	Professional		$29.30	$34.60	$120.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.15 / $96.12 / $118.28	Facility		$66.15	$96.12	$118.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.96 / $43.40 / $72.84	Professional		$17.96	$43.40	$72.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $40.70 / $89.50 / $107.22	Professional		$40.70	$89.50	$107.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $36.63 / $54.95 / $88.81	Facility		$36.63	$54.95	$88.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $37.92 / $40.70 / $54.95	Professional		$37.92	$40.70	$54.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $40.70 / $44.77 / $89.85	Facility		$40.70	$44.77	$89.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.74 / $51.69 / $101.87	Facility		$42.74	$51.69	$101.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $40.18 / $44.77 / $58.61	Professional		$40.18	$44.77	$58.61
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $79.37 / $123.85 / $168.15	Facility		$79.37	$123.85	$168.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $71.81 / $80.30 / $127.90	Professional		$71.81	$80.30	$127.90
United Facility/Professional Professional Modifier Low / Median / High Price $21.92 / $24.42 / $94.05	Professional		$21.92	$24.42	$94.05