Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.20 / $68.59 / $126.79	Facility		$39.20	$68.59	$126.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.32 / $47.86 / $77.95	Professional		$29.32	$47.86	$77.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.18 / $79.56 / $134.43	Professional		$48.18	$79.56	$134.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $43.50 / $71.87 / $121.86	Professional		$43.50	$71.87	$121.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.13 / $50.80 / $90.99	Facility		$30.13	$50.80	$90.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $48.58 / $79.48 / $135.38	Professional		$48.58	$79.48	$135.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $49.14 / $83.60 / $101.84	Facility		$49.14	$83.60	$101.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.32 / $50.68 / $94.24	Facility		$29.32	$50.68	$94.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $32.76 / $60.06 / $116.80	Professional		$32.76	$60.06	$116.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $46.68 / $74.76 / $119.65	Professional		$46.68	$74.76	$119.65
United Facility/Professional Professional Modifier Low / Median / High Price $72.50 / $105.84 / $155.34	Professional		$72.50	$105.84	$155.34