Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.90 / $45.90 / $65.48	Facility		$45.90	$45.90	$65.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.94 / $49.95 / $65.48	Professional		$40.94	$49.95	$65.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.04 / $44.04 / $44.04	Professional		$44.04	$44.04	$44.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.88 / $95.25 / $117.67	Professional		$67.88	$95.25	$117.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $43.56 / $65.48 / $123.67	Facility		$43.56	$65.48	$123.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $53.61 / $88.56 / $157.01	Professional		$53.61	$88.56	$157.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $65.08 / $97.80 / $104.52	Facility		$65.08	$97.80	$104.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $43.56 / $65.48 / $124.42	Facility		$43.56	$65.48	$124.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $44.04 / $66.14 / $123.25	Professional		$44.04	$66.14	$123.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $73.63 / $82.65 / $127.60	Professional		$73.63	$82.65	$127.60
United Facility/Professional Professional Modifier Low / Median / High Price $76.87 / $106.26 / $151.53	Professional		$76.87	$106.26	$151.53