Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.34 / $87.29 / $148.52	Facility		$43.34	$87.29	$148.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.39 / $16.95 / $22.97	Professional		$12.39	$16.95	$22.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.33 / $57.48 / $66.73	Facility		$37.33	$57.48	$66.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.86 / $26.43 / $41.12	Professional		$12.86	$26.43	$41.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.97 / $55.99 / $60.42	Professional		$22.97	$55.99	$60.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.94 / $22.97 / $47.90	Facility		$11.94	$22.97	$47.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $22.97 / $26.42 / $31.01	Professional		$22.97	$26.42	$31.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $22.97 / $25.27 / $34.46	Facility		$22.97	$25.27	$34.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.58 / $27.56 / $58.10	Facility		$12.58	$27.56	$58.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.82 / $25.27 / $32.15	Professional		$21.82	$25.27	$32.15
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $44.79 / $69.90 / $94.90	Facility		$44.79	$69.90	$94.90
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $20.57 / $27.42 / $56.61	Professional		$20.57	$27.42	$56.61
United Facility/Professional Professional Modifier Low / Median / High Price $9.65 / $9.65 / $27.56	Professional		$9.65	$9.65	$27.56