Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $89.13 / $95.50	Facility		$83.18	$89.13	$95.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $52.48 / $125.89	Professional		$32.36	$52.48	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $87.10 / $138.04	Professional		$52.48	$87.10	$138.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $75.86 / $93.33	Professional		$61.66	$75.86	$93.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $66.07 / $125.89	Facility		$39.81	$66.07	$125.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $81.28 / $114.82	Professional		$54.95	$81.28	$114.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $75.86 / $102.33	Facility		$61.66	$75.86	$102.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $58.88 / $109.65	Facility		$32.36	$58.88	$109.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $91.20 / $117.49	Professional		$70.79	$91.20	$117.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $89.13 / $125.89	Professional		$72.44	$89.13	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $95.50 / $138.04	Professional		$56.23	$95.50	$138.04