Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $70.79 / $117.49	Facility		$48.98	$70.79	$117.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $51.29 / $67.61	Professional		$48.98	$51.29	$67.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $69.18 / $97.72	Facility		$46.77	$69.18	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $48.98 / $53.70	Professional		$48.98	$48.98	$53.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $107.15 / $125.89	Professional		$48.98	$107.15	$125.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $52.48 / $97.72	Facility		$44.67	$52.48	$97.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $52.48 / $75.86	Professional		$48.98	$52.48	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $61.66 / $102.33	Facility		$48.98	$61.66	$102.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $53.70 / $97.72	Facility		$51.29	$53.70	$97.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $53.70 / $79.43	Professional		$50.12	$53.70	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $56.23 / $144.54	Facility		$48.98	$56.23	$144.54
United Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $48.98 / $117.49	Facility		$48.98	$48.98	$117.49
United Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $48.98 / $48.98	Professional		$48.98	$48.98	$48.98