Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.58 / $112.90 / $129.37	Facility		$62.58	$112.90	$129.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.64 / $54.11 / $72.13	Professional		$44.64	$54.11	$72.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.93 / $119.54 / $159.44	Professional		$67.93	$119.54	$159.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.27 / $106.88 / $142.51	Professional		$70.27	$106.88	$142.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $46.86 / $62.58 / $126.99	Facility		$46.86	$62.58	$126.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $65.93 / $103.02 / $161.28	Professional		$65.93	$103.02	$161.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $71.87 / $102.51 / $120.60	Facility		$71.87	$102.51	$120.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $46.86 / $62.58 / $130.05	Facility		$46.86	$62.58	$130.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $52.81 / $96.14 / $147.03	Professional		$52.81	$96.14	$147.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $74.52 / $95.59 / $147.69	Professional		$74.52	$95.59	$147.69
United Facility/Professional Professional Modifier Low / Median / High Price $83.53 / $115.18 / $171.22	Professional		$83.53	$115.18	$171.22