Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.48 / $80.48 / $80.48	Facility		$80.48	$80.48	$80.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.96 / $53.96 / $310.63	Professional		$53.96	$53.96	$310.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.45 / $66.45 / $66.45	Facility		$66.45	$66.45	$66.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.49 / $66.45 / $80.95	Professional		$56.49	$66.45	$80.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $68.31 / $87.82 / $258.01	Professional		$68.31	$87.82	$258.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $53.96 / $125.37 / $166.73	Facility		$53.96	$125.37	$166.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $11.71 / $94.74 / $136.59	Professional		$11.71	$94.74	$136.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $97.58 / $117.10 / $140.41	Facility		$97.58	$117.10	$140.41
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $97.58 / $103.26 / $126.62	Professional		$97.58	$103.26	$126.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $53.96 / $119.40 / $178.07	Facility		$53.96	$119.40	$178.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $66.45 / $94.70 / $120.02	Professional		$66.45	$94.70	$120.02
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $152.21 / $152.21 / $179.04	Facility		$152.21	$152.21	$179.04
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $103.20 / $103.20 / $103.20	Professional		$103.20	$103.20	$103.20
United Facility/Professional Professional Modifier Low / Median / High Price $51.86 / $51.86 / $101.49	Professional		$51.86	$51.86	$101.49