Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $83.18	Facility		$64.57	$64.57	$83.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $43.65 / $75.86	Professional		$26.92	$43.65	$75.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Facility		$58.88	$58.88	$58.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Professional		$43.65	$43.65	$43.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $169.82 / $204.17	Professional		$67.61	$169.82	$204.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $67.61 / $87.10	Facility		$66.07	$67.61	$87.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $70.79 / $95.50	Professional		$64.57	$70.79	$95.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $87.10 / $89.13	Facility		$70.79	$87.10	$89.13
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $89.13 / $89.13	Professional		$77.62	$89.13	$89.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $77.62 / $109.65	Facility		$50.12	$77.62	$109.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $79.43 / $93.33	Professional		$43.65	$79.43	$93.33
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $125.89 / $338.84	Facility		$74.13	$125.89	$338.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $100.00 / $100.00	Professional		$89.13	$100.00	$100.00
United Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $67.61	Facility		$63.10	$63.10	$67.61
United Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $39.81 / $75.86	Professional		$36.31	$39.81	$75.86