Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.40 / $51.75 / $84.96	Facility		$41.40	$51.75	$84.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.40 / $42.90 / $52.90	Professional		$41.40	$42.90	$52.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.07 / $61.31 / $85.54	Facility		$40.07	$61.31	$85.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.48 / $42.48 / $46.08	Professional		$42.48	$42.48	$46.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $40.82 / $90.90 / $114.05	Professional		$40.82	$90.90	$114.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $42.48 / $60.75 / $91.33	Facility		$42.48	$60.75	$91.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $42.48 / $45.92 / $55.22	Professional		$42.48	$45.92	$55.22
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $41.40 / $42.48 / $88.16	Facility		$41.40	$42.48	$88.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.48 / $60.75 / $91.33	Facility		$42.48	$60.75	$91.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $42.48 / $50.09 / $54.15	Professional		$42.48	$50.09	$54.15
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $41.93 / $67.09 / $152.41	Facility		$41.93	$67.09	$152.41
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $42.48 / $42.48 / $42.48	Professional		$42.48	$42.48	$42.48
United Facility/Professional Professional Modifier Low / Median / High Price $42.48 / $42.48 / $48.85	Professional		$42.48	$42.48	$48.85