Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.02 / $69.02 / $69.02	Facility		$69.02	$69.02	$69.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.68 / $38.68 / $226.52	Professional		$38.68	$38.68	$226.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.80 / $46.80 / $46.80	Facility		$46.80	$46.80	$46.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.78 / $46.80 / $63.10	Professional		$39.78	$46.80	$63.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $53.26 / $68.48 / $221.28	Professional		$53.26	$68.48	$221.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $38.68 / $63.80 / $84.90	Facility		$38.68	$63.80	$84.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $7.61 / $63.74 / $80.66	Professional		$7.61	$63.74	$80.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $76.09 / $80.59 / $93.39	Facility		$76.09	$80.59	$93.39
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $68.48 / $76.09 / $84.90	Professional		$68.48	$76.09	$84.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $38.68 / $60.76 / $84.90	Facility		$38.68	$60.76	$84.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $46.80 / $67.89 / $82.91	Professional		$46.80	$67.89	$82.91
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $109.07 / $109.07 / $128.30	Facility		$109.07	$109.07	$128.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $73.98 / $73.98 / $73.98	Professional		$73.98	$73.98	$73.98
United Facility/Professional Professional Modifier Low / Median / High Price $37.22 / $38.49 / $73.98	Professional		$37.22	$38.49	$73.98