Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.72 / $56.56 / $548.10	Facility		$19.72	$56.56	$548.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.64 / $68.58 / $397.00	Professional		$25.64	$68.58	$397.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.92 / $39.92 / $39.92	Facility		$39.92	$39.92	$39.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.59 / $61.83 / $89.42	Professional		$33.59	$61.83	$89.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $56.43 / $65.28 / $77.45	Professional		$56.43	$65.28	$77.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.09 / $47.34 / $79.90	Facility		$30.09	$47.34	$79.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $47.50 / $57.58 / $94.43	Professional		$47.50	$57.58	$94.43
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $38.29 / $59.63 / $61.64	Facility		$38.29	$59.63	$61.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.23 / $49.39 / $79.90	Facility		$30.23	$49.39	$79.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $55.18 / $67.45 / $85.01	Professional		$55.18	$67.45	$85.01
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $94.88 / $111.62 / $128.93	Facility		$94.88	$111.62	$128.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $49.47 / $68.56 / $87.17	Professional		$49.47	$68.56	$87.17
United Facility/Professional Professional Modifier Low / Median / High Price $41.10 / $65.00 / $96.98	Professional		$41.10	$65.00	$96.98