Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Facility		$56.23	$56.23	$56.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $52.48 / $97.72	Professional		$39.81	$52.48	$97.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Facility		$63.10	$63.10	$63.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $45.71	Professional		$45.71	$45.71	$45.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $190.55 / $234.42	Professional		$70.79	$190.55	$234.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $70.79 / $100.00	Facility		$56.23	$70.79	$100.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $75.86 / $102.33	Professional		$69.18	$75.86	$102.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $87.10 / $93.33	Facility		$74.13	$87.10	$93.33
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $93.33 / $93.33	Professional		$85.11	$93.33	$93.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $79.43 / $120.23	Facility		$53.70	$79.43	$120.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $81.28 / $100.00	Professional		$45.71	$81.28	$100.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $131.83 / $354.81	Facility		$77.62	$131.83	$354.81
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $104.71 / $104.71	Professional		$95.50	$104.71	$104.71
United Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $58.88 / $190.55	Facility		$43.65	$58.88	$190.55
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $43.65 / $83.18	Professional		$39.81	$43.65	$83.18