Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $75.86 / $125.89	Facility		$53.70	$75.86	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $53.70 / $67.61	Professional		$52.48	$53.70	$67.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $85.11 / $102.33	Facility		$50.12	$85.11	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $60.26	Professional		$53.70	$53.70	$60.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $112.20 / $134.90	Professional		$85.11	$112.20	$134.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $56.23 / $100.00	Facility		$53.70	$56.23	$100.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $56.23 / $74.13	Professional		$51.29	$56.23	$74.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $66.07 / $109.65	Facility		$52.48	$66.07	$109.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $54.95 / $97.72	Facility		$53.70	$54.95	$97.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $63.10 / $79.43	Professional		$53.70	$63.10	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $87.10 / $154.88	Facility		$44.67	$87.10	$154.88
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $53.70 / $74.13	Professional		$50.12	$53.70	$74.13
United Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $128.82	Facility		$53.70	$53.70	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $60.26	Professional		$53.70	$53.70	$60.26