Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Facility		$75.86	$75.86	$75.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $60.26 / $97.72	Professional		$43.65	$60.26	$97.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Facility		$66.07	$66.07	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $47.86	Professional		$47.86	$47.86	$47.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $218.78 / $269.15	Professional		$95.50	$218.78	$269.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $95.50 / $128.82	Facility		$75.86	$95.50	$128.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $102.33 / $138.04	Professional		$93.33	$102.33	$138.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $114.82 / $125.89	Facility		$100.00	$114.82	$125.89
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $125.89 / $125.89	Professional		$112.20	$125.89	$125.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $102.33 / $151.36	Facility		$57.54	$102.33	$151.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $109.65 / $131.83	Professional		$47.86	$109.65	$131.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $177.83 / $478.63	Facility		$104.71	$177.83	$478.63
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $141.25 / $141.25	Professional		$128.82	$141.25	$141.25
United Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $165.96 / $218.78	Facility		$66.07	$165.96	$218.78
United Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $50.12 / $95.50	Professional		$45.71	$50.12	$95.50