Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $95.50 / $102.33	Facility		$51.29	$95.50	$102.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $43.65 / $93.33	Professional		$37.15	$43.65	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $74.13 / $112.20	Professional		$47.86	$74.13	$112.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $79.43 / $100.00	Professional		$64.57	$79.43	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $60.26 / $95.50	Facility		$38.02	$60.26	$95.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $77.62 / $112.20	Professional		$60.26	$77.62	$112.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $79.43 / $81.28	Facility		$66.07	$79.43	$81.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $60.26 / $95.50	Facility		$39.81	$60.26	$95.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $81.28 / $112.20	Professional		$66.07	$81.28	$112.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $107.15 / $165.96	Facility		$60.26	$107.15	$165.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $83.18 / $107.15	Professional		$69.18	$83.18	$107.15
United Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $77.62 / $120.23	Professional		$42.66	$77.62	$120.23