Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $67.61	Facility		$67.61	$67.61	$67.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $61.66 / $112.20	Professional		$41.69	$61.66	$112.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $83.18 / $83.18	Facility		$83.18	$83.18	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Professional		$61.66	$61.66	$61.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $208.93 / $263.03	Professional		$87.10	$208.93	$263.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $87.10 / $117.49	Facility		$69.18	$87.10	$117.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $93.33 / $125.89	Professional		$85.11	$93.33	$125.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $97.72 / $114.82	Facility		$91.20	$97.72	$114.82
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $114.82 / $114.82	Professional		$97.72	$114.82	$114.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $93.33 / $138.04	Facility		$61.66	$93.33	$138.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $100.00 / $120.23	Professional		$61.66	$100.00	$120.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $162.18 / $436.52	Facility		$95.50	$162.18	$436.52
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $128.82 / $128.82	Professional		$117.49	$128.82	$128.82
United Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $72.44 / $213.80	Facility		$47.86	$72.44	$213.80
United Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $48.98 / $93.33	Professional		$43.65	$48.98	$93.33