Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Facility		$54.95	$54.95	$54.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $44.67 / $53.70	Professional		$33.11	$44.67	$53.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $181.97 / $181.97	Professional		$69.18	$181.97	$181.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $83.18 / $104.71	Professional		$70.79	$83.18	$104.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $50.12 / $85.11	Facility		$37.15	$50.12	$85.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $42.66 / $52.48	Professional		$33.11	$42.66	$52.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $57.54 / $77.62	Facility		$38.90	$57.54	$77.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $50.12 / $74.13	Facility		$33.88	$50.12	$74.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $79.43 / $181.97	Professional		$70.79	$79.43	$181.97
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $398.11 / $478.63	Facility		$309.03	$398.11	$478.63
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $89.13 / $112.20	Professional		$69.18	$89.13	$112.20
United Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $501.19 / $660.69	Facility		$407.38	$501.19	$660.69
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $95.50 / $134.90	Professional		$51.29	$95.50	$134.90