Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.46 / $51.47 / $301.52	Facility		$35.46	$51.47	$301.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.91 / $39.45 / $88.00	Professional		$23.91	$39.45	$88.00
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $41.27 / $50.21 / $144.00	Professional	25	$41.27	$50.21	$144.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $11.96 / $17.73 / $31.66	Professional	52	$11.96	$17.73	$31.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.77 / $35.77 / $35.77	Facility		$35.77	$35.77	$35.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.82 / $34.82 / $34.82	Professional		$34.82	$34.82	$34.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.33 / $69.93 / $96.43	Professional		$51.33	$69.93	$96.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $32.29 / $53.16 / $86.06	Facility		$32.29	$53.16	$86.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $43.23 / $62.45 / $91.30	Professional		$43.23	$62.45	$91.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $45.78 / $72.15 / $79.06	Facility		$45.78	$72.15	$79.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.40 / $56.00 / $97.37	Facility		$33.40	$56.00	$97.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $49.21 / $71.92 / $99.83	Professional		$49.21	$71.92	$99.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $221.37 / $269.67 / $324.48	Facility		$221.37	$269.67	$324.48
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $46.33 / $69.37 / $104.83	Professional		$46.33	$69.37	$104.83
United Facility/Professional Professional Modifier Low / Median / High Price $52.38 / $74.20 / $116.79	Professional		$52.38	$74.20	$116.79