Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.16 / $53.16 / $53.16	Facility		$53.16	$53.16	$53.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.28 / $30.41 / $174.23	Professional		$30.28	$30.41	$174.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.90 / $39.90 / $39.90	Facility		$39.90	$39.90	$39.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.92 / $39.90 / $47.93	Professional		$33.92	$39.90	$47.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.69 / $54.88 / $170.44	Professional		$42.69	$54.88	$170.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.28 / $54.31 / $62.26	Facility		$30.28	$54.31	$62.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5.90 / $46.30 / $60.98	Professional		$5.90	$46.30	$60.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $55.94 / $60.98 / $67.79	Facility		$55.94	$60.98	$67.79
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $60.01 / $60.98 / $64.42	Professional		$60.01	$60.98	$64.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.28 / $51.72 / $72.23	Facility		$30.28	$51.72	$72.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $39.90 / $53.15 / $60.01	Professional		$39.90	$53.15	$60.01
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $85.37 / $85.37 / $100.42	Facility		$85.37	$85.37	$100.42
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $57.93 / $57.93 / $57.93	Professional		$57.93	$57.93	$57.93
United Facility/Professional Professional Modifier Low / Median / High Price $29.33 / $30.13 / $59.21	Professional		$29.33	$30.13	$59.21