Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.89 / $67.59 / $117.93	Facility		$33.89	$67.59	$117.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.52 / $26.30 / $100.74	Professional		$19.52	$26.30	$100.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.05 / $67.84 / $78.76	Facility		$44.05	$67.84	$78.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.18 / $31.39 / $48.76	Professional		$15.18	$31.39	$48.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $27.11 / $66.26 / $71.48	Professional		$27.11	$66.26	$71.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.37 / $27.11 / $56.55	Facility		$14.37	$27.11	$56.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $27.11 / $27.11 / $36.86	Professional		$27.11	$27.11	$36.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $27.11 / $28.47 / $51.32	Facility		$27.11	$28.47	$51.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.75 / $32.53 / $67.84	Facility		$19.75	$32.53	$67.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.75 / $29.82 / $38.77	Professional		$25.75	$29.82	$38.77
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $52.86 / $82.50 / $112.00	Facility		$52.86	$82.50	$112.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $24.33 / $32.44 / $66.45	Professional		$24.33	$32.44	$66.45
United Facility/Professional Facility Modifier Low / Median / High Price $40.67 / $40.67 / $43.38	Facility		$40.67	$40.67	$43.38
United Facility/Professional Professional Modifier Low / Median / High Price $11.39 / $11.39 / $32.53	Professional		$11.39	$11.39	$32.53