Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.11 / $46.11 / $46.11	Facility		$46.11	$46.11	$46.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.38 / $26.38 / $152.26	Professional		$26.38	$26.38	$152.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.44 / $24.44 / $24.44	Facility		$24.44	$24.44	$24.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.77 / $24.44 / $42.61	Professional		$20.77	$24.44	$42.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.94 / $47.49 / $147.83	Professional		$36.94	$47.49	$147.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $26.38 / $46.01 / $52.77	Facility		$26.38	$46.01	$52.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4.99 / $39.58 / $52.77	Professional		$4.99	$39.58	$52.77
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $47.49 / $52.77 / $63.32	Facility		$47.49	$52.77	$63.32
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $47.49 / $52.77 / $55.27	Professional		$47.49	$52.77	$55.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.44 / $43.82 / $61.18	Facility		$24.44	$43.82	$61.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.44 / $46.21 / $51.53	Professional		$24.44	$46.21	$51.53
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $74.61 / $74.61 / $87.76	Facility		$74.61	$74.61	$87.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $50.23 / $50.23 / $50.23	Professional		$50.23	$50.23	$50.23
United Facility/Professional Professional Modifier Low / Median / High Price $24.43 / $26.33 / $51.53	Professional		$24.43	$26.33	$51.53