Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.40 / $51.40 / $51.40	Facility		$51.40	$51.40	$51.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.10 / $34.28 / $196.26	Professional		$34.10	$34.28	$196.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.54 / $41.54 / $41.54	Facility		$41.54	$41.54	$41.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.31 / $41.54 / $50.10	Professional		$35.31	$41.54	$50.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $43.74 / $56.23 / $164.77	Professional		$43.74	$56.23	$164.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $34.10 / $77.08 / $88.42	Facility		$34.10	$77.08	$88.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $6.98 / $60.66 / $84.00	Professional		$6.98	$60.66	$84.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $62.48 / $71.27 / $86.35	Facility		$62.48	$71.27	$86.35
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $62.48 / $63.40 / $78.43	Professional		$62.48	$63.40	$78.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $34.10 / $73.41 / $102.51	Facility		$34.10	$73.41	$102.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $41.54 / $59.84 / $75.06	Professional		$41.54	$59.84	$75.06
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $96.17 / $96.17 / $113.12	Facility		$96.17	$96.17	$113.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $65.20 / $65.20 / $65.20	Professional		$65.20	$65.20	$65.20
United Facility/Professional Professional Modifier Low / Median / High Price $32.83 / $32.83 / $63.07	Professional		$32.83	$32.83	$63.07