Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.36 / $58.84 / $100.70	Facility		$26.36	$58.84	$100.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.71 / $15.35 / $30.70	Professional		$13.71	$15.35	$30.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.28 / $55.53 / $61.28	Facility		$34.28	$55.53	$61.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.19 / $22.39 / $37.60	Professional		$11.19	$22.39	$37.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.09 / $51.27 / $55.32	Professional		$21.09	$51.27	$55.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.46 / $21.09 / $44.48	Facility		$14.46	$21.09	$44.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $21.09 / $23.20 / $33.60	Professional		$21.09	$23.20	$33.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $21.09 / $23.83 / $46.56	Facility		$21.09	$23.83	$46.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.36 / $25.31 / $52.78	Facility		$15.36	$25.31	$52.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.04 / $23.20 / $29.53	Professional		$20.04	$23.20	$29.53
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $41.13 / $64.18 / $87.13	Facility		$41.13	$64.18	$87.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $15.83 / $19.76 / $51.69	Professional		$15.83	$19.76	$51.69
United Facility/Professional Professional Modifier Low / Median / High Price $8.86 / $8.86 / $25.31	Professional		$8.86	$8.86	$25.31