Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.85 / $91.69 / $142.88	Facility		$26.85	$91.69	$142.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.69 / $16.66 / $42.13	Professional		$13.69	$16.66	$42.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.10 / $48.76 / $66.48	Facility		$30.10	$48.76	$66.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.32 / $21.06 / $33.49	Professional		$13.32	$21.06	$33.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.52 / $44.96 / $48.52	Professional		$18.52	$44.96	$48.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.79 / $23.29 / $67.40	Facility		$16.79	$23.29	$67.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.52 / $21.30 / $32.35	Professional		$18.52	$21.30	$32.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $18.52 / $25.00 / $40.88	Facility		$18.52	$25.00	$40.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.79 / $22.41 / $53.71	Facility		$16.79	$22.41	$53.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.52 / $23.15 / $30.31	Professional		$18.52	$23.15	$30.31
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $36.11 / $57.15 / $76.51	Facility		$36.11	$57.15	$76.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $16.51 / $23.61 / $45.95	Professional		$16.51	$23.61	$45.95
United Facility/Professional Professional Modifier Low / Median / High Price $7.78 / $10.58 / $22.22	Professional		$7.78	$10.58	$22.22