Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $75.86 / $131.83	Facility		$38.90	$75.86	$131.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $44.67 / $66.07	Professional		$28.84	$44.67	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $79.43 / $134.90	Professional		$44.67	$79.43	$134.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $70.79 / $120.23	Professional		$37.15	$70.79	$120.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $58.88 / $77.62	Facility		$28.84	$58.88	$77.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $63.10 / $125.89	Professional		$32.36	$63.10	$125.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $97.72 / $102.33	Facility		$61.66	$97.72	$102.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $46.77 / $72.44	Facility		$28.84	$46.77	$72.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $70.79 / $120.23	Professional		$34.67	$70.79	$120.23
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $75.86 / $120.23	Professional		$48.98	$75.86	$120.23
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $75.86 / $125.89	Professional		$46.77	$75.86	$125.89