Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.02 / $56.10 / $158.47	Facility		$29.02	$56.10	$158.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.02 / $21.77 / $30.63	Professional		$21.02	$21.77	$30.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.29 / $63.67 / $86.80	Facility		$39.29	$63.67	$86.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.39 / $28.08 / $43.47	Professional		$17.39	$28.08	$43.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $24.18 / $59.16 / $63.83	Professional		$24.18	$59.16	$63.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $20.01 / $25.80 / $57.96	Facility		$20.01	$25.80	$57.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $24.18 / $29.02 / $48.66	Professional		$24.18	$29.02	$48.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $24.18 / $32.64 / $53.38	Facility		$24.18	$32.64	$53.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.93 / $29.26 / $70.12	Facility		$21.93	$29.26	$70.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.18 / $29.02 / $39.59	Professional		$24.18	$29.02	$39.59
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $47.15 / $74.63 / $99.90	Facility		$47.15	$74.63	$99.90
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $21.73 / $30.83 / $59.90	Professional		$21.73	$30.83	$59.90
United Facility/Professional Professional Modifier Low / Median / High Price $10.16 / $13.82 / $29.02	Professional		$10.16	$13.82	$29.02