Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.73 / $78.95 / $131.26	Facility		$65.73	$78.95	$131.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.63 / $66.28 / $147.24	Professional		$65.63	$66.28	$147.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.91 / $90.66 / $127.76	Facility		$61.91	$90.66	$127.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.63 / $65.63 / $71.20	Professional		$65.63	$65.63	$71.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $64.73 / $144.16 / $168.51	Professional		$64.73	$144.16	$168.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $62.09 / $84.44 / $141.10	Facility		$62.09	$84.44	$141.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $65.63 / $69.56 / $85.32	Professional		$65.63	$69.56	$85.32
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $65.62 / $75.53 / $136.51	Facility		$65.62	$75.53	$136.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $63.02 / $69.51 / $93.85	Facility		$63.02	$69.51	$93.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $58.75 / $71.20 / $80.26	Professional		$58.75	$71.20	$80.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $60.67 / $84.20 / $196.64	Facility		$60.67	$84.20	$196.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $65.63 / $65.63 / $65.63	Professional		$65.63	$65.63	$65.63
United Facility/Professional Professional Modifier Low / Median / High Price $65.63 / $65.63 / $65.63	Professional		$65.63	$65.63	$65.63