Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Facility		$33.88	$33.88	$33.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $32.36 / $52.48	Professional		$25.12	$32.36	$52.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Facility		$43.65	$43.65	$43.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $32.36	Professional		$32.36	$32.36	$32.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $114.82 / $144.54	Professional		$44.67	$114.82	$144.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $45.71 / $61.66	Facility		$34.67	$45.71	$61.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $46.77 / $63.10	Professional		$42.66	$46.77	$63.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $57.54 / $60.26	Facility		$46.77	$57.54	$60.26
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $58.88 / $60.26	Professional		$52.48	$58.88	$60.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $47.86 / $74.13	Facility		$31.62	$47.86	$74.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $54.95 / $79.43	Professional		$32.36	$54.95	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $83.18 / $223.87	Facility		$48.98	$83.18	$223.87
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $66.07 / $66.07	Professional		$58.88	$66.07	$66.07
United Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $87.10 / $114.82	Facility		$26.30	$87.10	$114.82
United Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $26.92 / $51.29	Professional		$23.99	$26.92	$51.29