Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.18 / $44.92 / $86.74	Facility		$37.18	$44.92	$86.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.87 / $30.05 / $44.92	Professional		$27.87	$30.05	$44.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.35 / $81.56 / $111.23	Facility		$50.35	$81.56	$111.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.20 / $35.52 / $55.81	Professional		$22.20	$35.52	$55.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.98 / $75.73 / $81.70	Professional		$30.98	$75.73	$81.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $28.08 / $37.70 / $102.92	Facility		$28.08	$37.70	$102.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $30.98 / $35.63 / $62.32	Professional		$30.98	$35.63	$62.32
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $30.98 / $41.82 / $75.84	Facility		$30.98	$41.82	$75.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.08 / $37.70 / $89.84	Facility		$28.08	$37.70	$89.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.98 / $37.18 / $50.71	Professional		$30.98	$37.18	$50.71
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $60.41 / $95.63 / $127.99	Facility		$60.41	$95.63	$127.99
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $27.81 / $39.47 / $76.31	Professional		$27.81	$39.47	$76.31
United Facility/Professional Professional Modifier Low / Median / High Price $13.01 / $17.71 / $37.18	Professional		$13.01	$17.71	$37.18