Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $67.61 / $724.44	Facility		$19.05	$67.61	$724.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $63.10 / $331.13	Professional		$25.12	$63.10	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $52.48 / $83.18	Professional		$32.36	$52.48	$83.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $61.66 / $77.62	Professional		$48.98	$61.66	$77.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $41.69 / $67.61	Facility		$28.84	$41.69	$67.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $56.23 / $109.65	Professional		$28.18	$56.23	$109.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $60.26 / $61.66	Facility		$42.66	$60.26	$61.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $38.02 / $64.57	Facility		$26.30	$38.02	$64.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $66.07 / $81.28	Professional		$47.86	$66.07	$81.28
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $107.15 / $128.82	Facility		$70.79	$107.15	$128.82
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $61.66 / $81.28	Professional		$47.86	$61.66	$81.28
United Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $58.88 / $83.18	Professional		$33.88	$58.88	$83.18