Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $66.07 / $67.61	Facility		$42.66	$66.07	$67.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $42.66 / $50.12	Professional		$41.69	$42.66	$50.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Facility		$89.13	$89.13	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Professional		$44.67	$44.67	$44.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $123.03 / $134.90	Professional		$107.15	$123.03	$134.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $57.54 / $93.33	Facility		$43.65	$57.54	$93.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $42.66 / $50.12	Professional		$41.69	$42.66	$50.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $104.71	Facility		$50.12	$50.12	$104.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $63.10 / $147.91	Facility		$43.65	$63.10	$147.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $60.26 / $107.15	Professional		$44.67	$60.26	$107.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Professional		$50.12	$50.12	$50.12
United Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $60.26	Professional		$50.12	$50.12	$60.26