Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $37.15 / $40.74	Professional		$22.91	$37.15	$40.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Professional		$54.95	$54.95	$54.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $100.00 / $114.82	Professional		$89.13	$100.00	$114.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $37.15 / $58.88	Facility		$23.99	$37.15	$58.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $37.15 / $40.74	Professional		$22.91	$37.15	$40.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $81.28 / $81.28	Facility		$67.61	$81.28	$81.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $38.02 / $60.26	Facility		$23.99	$38.02	$60.26
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $70.79 / $114.82	Professional		$46.77	$70.79	$114.82
United Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $66.07 / $102.33	Professional		$41.69	$66.07	$102.33