Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $34.67	Facility		$34.67	$34.67	$34.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $32.36 / $52.48	Professional		$25.70	$32.36	$52.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Facility		$36.31	$36.31	$36.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $26.92	Professional		$26.92	$26.92	$26.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $117.49 / $147.91	Professional		$45.71	$117.49	$147.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $45.71 / $63.10	Facility		$36.31	$45.71	$63.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $47.86 / $64.57	Professional		$43.65	$47.86	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $58.88 / $61.66	Facility		$47.86	$58.88	$61.66
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $60.26 / $61.66	Professional		$53.70	$60.26	$61.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $48.98 / $75.86	Facility		$32.36	$48.98	$75.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $57.54 / $79.43	Professional		$26.92	$57.54	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $85.11 / $229.09	Facility		$50.12	$85.11	$229.09
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $67.61 / $67.61	Professional		$61.66	$67.61	$67.61
United Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $89.13 / $120.23	Facility		$26.92	$89.13	$120.23
United Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $27.54 / $52.48	Professional		$24.55	$27.54	$52.48