Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.35 / $85.06 / $115.55	Facility		$46.35	$85.06	$115.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.37 / $36.15 / $63.65	Professional		$19.37	$36.15	$63.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.33 / $116.00 / $134.68	Facility		$75.33	$116.00	$134.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.37 / $27.11 / $60.47	Professional		$24.37	$27.11	$60.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $46.35 / $112.80 / $121.70	Professional		$46.35	$112.80	$121.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $23.18 / $46.35 / $96.66	Facility		$23.18	$46.35	$96.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.44 / $46.35 / $66.73	Professional		$19.44	$46.35	$66.73
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $46.35 / $48.67 / $79,999.20	Facility		$46.35	$48.67	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.76 / $55.62 / $97.80	Facility		$33.76	$55.62	$97.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.41 / $50.99 / $64.89	Professional		$20.41	$50.99	$64.89
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $90.38 / $136.82 / $181.97	Facility		$90.38	$136.82	$181.97
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $14.58 / $41.42 / $114.05	Professional		$14.58	$41.42	$114.05
United Facility/Professional Facility Modifier Low / Median / High Price $8.75 / $8.75 / $8.75	Facility		$8.75	$8.75	$8.75
United Facility/Professional Professional Modifier Low / Median / High Price $8.16 / $19.47 / $55.62	Professional		$8.16	$19.47	$55.62