Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.44 / $63.44 / $63.44	Facility		$63.44	$63.44	$63.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.64 / $49.97 / $59.29	Professional		$31.64	$49.97	$59.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.49 / $43.49 / $43.49	Professional		$43.49	$43.49	$43.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $138.43 / $170.38 / $200.07	Professional		$138.43	$170.38	$200.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $54.51 / $85.18 / $142.80	Facility		$54.51	$85.18	$142.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $64.02 / $80.92 / $85.18	Professional		$64.02	$80.92	$85.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $131.41 / $144.72	Facility		$67.61	$131.41	$144.72
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $67.61	Professional		$67.61	$67.61	$67.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $54.51 / $81.06 / $142.80	Facility		$54.51	$81.06	$142.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $43.49 / $74.58 / $91.50	Professional		$43.49	$74.58	$91.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $77.44 / $112.98 / $163.89	Professional		$77.44	$112.98	$163.89
United Facility/Professional Professional Modifier Low / Median / High Price $32.65 / $36.11 / $68.91	Professional		$32.65	$36.11	$68.91