Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.29 / $54.73 / $86.38	Facility		$43.29	$54.73	$86.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.19 / $43.62 / $113.66	Professional		$43.19	$43.62	$113.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.75 / $61.40 / $86.28	Facility		$40.75	$61.40	$86.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.19 / $43.19 / $46.86	Professional		$43.19	$43.19	$46.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.74 / $95.17 / $114.05	Professional		$42.74	$95.17	$114.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $43.19 / $57.22 / $92.86	Facility		$43.19	$57.22	$92.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $43.19 / $45.98 / $56.15	Professional		$43.19	$45.98	$56.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $43.19 / $43.74 / $89.64	Facility		$43.19	$43.74	$89.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $45.27 / $47.07 / $61.76	Facility		$45.27	$47.07	$61.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $46.21 / $50.94 / $55.18	Professional		$46.21	$50.94	$55.18
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $43.19 / $48.68 / $130.62	Facility		$43.19	$48.68	$130.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $43.19 / $43.19 / $43.19	Professional		$43.19	$43.19	$43.19
United Facility/Professional Professional Modifier Low / Median / High Price $43.19 / $43.19 / $49.67	Professional		$43.19	$43.19	$49.67