Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.61 / $73.09 / $235.23	Facility		$36.61	$73.09	$235.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.69 / $22.45 / $31.98	Professional		$21.69	$22.45	$31.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.03 / $66.45 / $90.66	Facility		$41.03	$66.45	$90.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.12 / $28.91 / $45.23	Professional		$18.12	$28.91	$45.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.25 / $61.53 / $66.39	Professional		$25.25	$61.53	$66.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $22.02 / $31.75 / $84.66	Facility		$22.02	$31.75	$84.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $25.25 / $30.30 / $50.80	Professional		$25.25	$30.30	$50.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $25.25 / $34.29 / $58.43	Facility		$25.25	$34.29	$58.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.02 / $31.75 / $73.23	Facility		$22.02	$31.75	$73.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.25 / $31.56 / $41.34	Professional		$25.25	$31.56	$41.34
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $49.24 / $77.95 / $104.32	Facility		$49.24	$77.95	$104.32
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $22.59 / $32.18 / $62.36	Professional		$22.59	$32.18	$62.36
United Facility/Professional Professional Modifier Low / Median / High Price $10.61 / $14.43 / $30.30	Professional		$10.61	$14.43	$30.30