Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $41.69 / $123.03	Facility		$33.88	$41.69	$123.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $21.88 / $41.69	Professional		$15.85	$21.88	$41.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $64.57 / $79.43	Facility		$43.65	$64.57	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $26.92 / $48.98	Professional		$11.22	$26.92	$48.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $58.88 / $69.18	Professional		$26.92	$58.88	$69.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $26.92 / $26.92	Facility		$26.92	$26.92	$26.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $29.51 / $36.31	Professional		$24.55	$29.51	$36.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $26.92 / $51.29	Facility		$26.92	$26.92	$51.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $38.02 / $79.43	Facility		$26.30	$38.02	$79.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $29.51 / $53.70	Professional		$23.44	$29.51	$53.70
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $81.28 / $112.20	Facility		$40.74	$81.28	$112.20
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $24.55 / $32.36	Professional		$18.62	$24.55	$32.36
United Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $32.36 / $43.65	Facility		$32.36	$32.36	$43.65
United Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $11.48 / $32.36	Professional		$10.23	$11.48	$32.36