Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $30.20 / $89.13	Facility		$24.55	$30.20	$89.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $16.98 / $30.20	Professional		$10.00	$16.98	$30.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $51.29 / $60.26	Facility		$31.62	$51.29	$60.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $19.50 / $35.48	Professional		$11.22	$19.50	$35.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $42.66 / $50.12	Professional		$19.50	$42.66	$50.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $19.50 / $26.92	Facility		$19.50	$19.50	$26.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $23.44 / $33.88	Professional		$19.50	$23.44	$33.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $19.50 / $37.15	Facility		$19.50	$19.50	$37.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $28.18 / $58.88	Facility		$17.78	$28.18	$58.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $22.91 / $79.43	Professional		$17.78	$22.91	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $58.88 / $81.28	Facility		$29.51	$58.88	$81.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $17.78 / $23.44	Professional		$14.79	$17.78	$23.44
United Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $23.44 / $31.62	Facility		$23.44	$23.44	$31.62
United Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $9.55 / $23.44	Professional		$8.32	$9.55	$23.44