Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.36 / $77.84 / $158.65	Facility		$33.36	$77.84	$158.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.19 / $25.17 / $27.80	Professional		$24.19	$25.17	$27.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.18 / $73.18 / $99.81	Facility		$45.18	$73.18	$99.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.89 / $31.80 / $49.93	Professional		$19.89	$31.80	$49.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $27.80 / $67.84 / $73.18	Professional		$27.80	$67.84	$73.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $25.22 / $34.97 / $92.96	Facility		$25.22	$34.97	$92.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $27.80 / $33.36 / $53.55	Professional		$27.80	$33.36	$53.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $27.80 / $37.53 / $61.37	Facility		$27.80	$37.53	$61.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.22 / $34.97 / $80.62	Facility		$25.22	$34.97	$80.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.80 / $34.75 / $45.52	Professional		$27.80	$34.75	$45.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $54.21 / $85.83 / $114.85	Facility		$54.21	$85.83	$114.85
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $24.91 / $35.44 / $68.92	Professional		$24.91	$35.44	$68.92
United Facility/Professional Professional Modifier Low / Median / High Price $11.68 / $15.89 / $33.36	Professional		$11.68	$15.89	$33.36