Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $81.28 / $81.28	Facility		$39.81	$81.28	$81.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $32.36 / $70.79	Professional		$26.92	$32.36	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $114.82 / $165.96	Professional		$44.67	$114.82	$165.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $75.86 / $89.13	Professional		$61.66	$75.86	$89.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $38.90 / $66.07	Facility		$28.18	$38.90	$66.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $56.23 / $83.18	Professional		$36.31	$56.23	$83.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $50.12 / $61.66	Facility		$35.48	$50.12	$61.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $40.74 / $66.07	Facility		$27.54	$40.74	$66.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $70.79 / $83.18	Professional		$44.67	$70.79	$83.18
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,000.00 / $1,174.90	Facility		$707.95	$1,000.00	$1,174.90
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $63.10 / $83.18	Professional		$45.71	$63.10	$83.18
United Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $812.83 / $1,071.52	Facility		$660.69	$812.83	$1,071.52
United Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $56.23 / $85.11	Professional		$31.62	$56.23	$85.11