Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Facility		$81.28	$81.28	$81.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $72.44 / $114.82	Professional		$53.70	$72.44	$114.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Facility		$89.13	$89.13	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Professional		$64.57	$64.57	$64.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $263.03 / $323.59	Professional		$102.33	$263.03	$323.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $102.33 / $141.25	Facility		$81.28	$102.33	$141.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $109.65 / $147.91	Professional		$100.00	$109.65	$147.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $120.23 / $134.90	Facility		$107.15	$120.23	$134.90
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $134.90 / $134.90	Professional		$120.23	$134.90	$134.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $114.82 / $165.96	Facility		$67.61	$114.82	$165.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $117.49 / $141.25	Professional		$64.57	$117.49	$141.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $190.55 / $512.86	Facility		$112.20	$190.55	$512.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $151.36 / $151.36	Professional		$138.04	$151.36	$151.36
United Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $81.28 / $263.03	Facility		$79.43	$81.28	$263.03
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $60.26 / $114.82	Professional		$54.95	$60.26	$114.82