Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Facility		$75.86	$75.86	$75.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $61.66 / $93.33	Professional		$32.36	$61.66	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $45.71	Professional		$45.71	$45.71	$45.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $204.17 / $239.88	Professional		$79.43	$204.17	$239.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $77.62 / $114.82	Facility		$75.86	$77.62	$114.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $83.18 / $112.20	Professional		$77.62	$83.18	$112.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $102.33 / $107.15	Facility		$83.18	$102.33	$107.15
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $104.71 / $107.15	Professional		$91.20	$104.71	$107.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $91.20 / $131.83	Facility		$60.26	$91.20	$131.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $91.20 / $109.65	Professional		$46.77	$91.20	$109.65
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $117.49 / $117.49	Professional		$104.71	$117.49	$117.49
United Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $74.13	Facility		$36.31	$36.31	$74.13
United Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $47.86 / $91.20	Professional		$42.66	$47.86	$91.20