Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Facility		$60.26	$60.26	$60.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $54.95 / $89.13	Professional		$42.66	$54.95	$89.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Facility		$69.18	$69.18	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $51.29	Professional		$51.29	$51.29	$51.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $199.53 / $245.47	Professional		$75.86	$199.53	$245.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $75.86 / $104.71	Facility		$60.26	$75.86	$104.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $79.43 / $107.15	Professional		$74.13	$79.43	$107.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $97.72 / $104.71	Facility		$79.43	$97.72	$104.71
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $100.00 / $104.71	Professional		$91.20	$100.00	$104.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $83.18 / $125.89	Facility		$51.29	$83.18	$125.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $87.10 / $107.15	Professional		$51.29	$87.10	$107.15
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $141.25 / $380.19	Facility		$83.18	$141.25	$380.19
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $112.20 / $112.20	Professional		$102.33	$112.20	$112.20
United Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $151.36 / $199.53	Facility		$45.71	$151.36	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $45.71 / $87.10	Professional		$41.69	$45.71	$87.10