Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Facility		$44.67	$44.67	$44.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $39.81 / $64.57	Professional		$32.36	$39.81	$64.57
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 $37.15 / $37.15 / $37.15	Professional		$37.15	$37.15	$37.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $147.91 / $181.97	Professional		$56.23	$147.91	$181.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $57.54 / $77.62	Facility		$45.71	$57.54	$77.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $58.88 / $79.43	Professional		$54.95	$58.88	$79.43
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $74.13 / $77.62	Facility		$72.44	$74.13	$77.62
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $74.13	Professional		$58.88	$58.88	$74.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $61.66 / $93.33	Facility		$39.81	$61.66	$93.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $70.79 / $79.43	Professional		$37.15	$70.79	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $104.71 / $281.84	Facility		$61.66	$104.71	$281.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $83.18 / $83.18	Professional		$75.86	$83.18	$83.18
United Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $112.20 / $147.91	Facility		$44.67	$112.20	$147.91
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $33.88 / $64.57	Professional		$30.90	$33.88	$64.57