Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $29.51 / $64.57	Facility		$21.88	$29.51	$64.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $15.85 / $30.90	Professional		$10.96	$15.85	$30.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $29.51 / $42.66	Professional		$15.49	$29.51	$42.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $25.12 / $34.67	Professional		$16.22	$25.12	$34.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $21.88 / $37.15	Facility		$13.80	$21.88	$37.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $25.12 / $39.81	Professional		$16.98	$25.12	$39.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $28.18 / $33.11	Facility		$20.89	$28.18	$33.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $19.95 / $38.02	Facility		$13.18	$19.95	$38.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $30.20 / $79.43	Professional		$21.38	$30.20	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $630.96 / $741.31	Facility		$467.74	$630.96	$741.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $29.51 / $39.81	Professional		$23.44	$29.51	$39.81
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $1,071.52 / $6,165.95	Facility		$389.05	$1,071.52	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $28.18 / $39.81	Professional		$19.05	$28.18	$39.81