Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $120.23 / $134.90	Facility		$67.61	$120.23	$134.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $52.48 / $120.23	Professional		$42.66	$52.48	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $107.15 / $151.36	Professional		$54.95	$107.15	$151.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $91.20 / $114.82	Professional		$64.57	$91.20	$114.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $51.29 / $89.13	Facility		$43.65	$51.29	$89.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $93.33 / $138.04	Professional		$52.48	$93.33	$138.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $104.71 / $107.15	Facility		$81.28	$104.71	$107.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $53.70 / $104.71	Facility		$43.65	$53.70	$104.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $79.43 / $131.83	Professional		$58.88	$79.43	$131.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $93.33 / $131.83	Professional		$79.43	$93.33	$131.83
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $107.15 / $144.54	Professional		$61.66	$107.15	$144.54