Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Facility		$58.88	$58.88	$58.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $58.88 / $102.33	Professional		$45.71	$58.88	$102.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Facility		$61.66	$61.66	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Professional		$44.67	$44.67	$44.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $213.80 / $263.03	Professional		$75.86	$213.80	$263.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $74.13 / $107.15	Facility		$58.88	$74.13	$107.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $79.43 / $107.15	Professional		$72.44	$79.43	$107.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $95.50 / $102.33	Facility		$77.62	$95.50	$102.33
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $102.33	Professional		$97.72	$97.72	$102.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $85.11 / $128.82	Facility		$57.54	$85.11	$128.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $87.10 / $102.33	Professional		$44.67	$87.10	$102.33
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $138.04 / $380.19	Facility		$81.28	$138.04	$380.19
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $109.65 / $109.65	Professional		$100.00	$109.65	$109.65
United Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $48.98 / $213.80	Facility		$29.51	$48.98	$213.80
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $48.98 / $93.33	Professional		$44.67	$48.98	$93.33