Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.69 / $27.42 / $52.95	Facility		$22.69	$27.42	$52.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.83 / $18.34 / $102.64	Professional		$4.83	$18.34	$102.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.73 / $49.77 / $67.94	Facility		$30.73	$49.77	$67.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.50 / $21.48 / $34.07	Professional		$13.50	$21.48	$34.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.91 / $45.75 / $49.35	Professional		$18.91	$45.75	$49.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.68 / $20.47 / $39.43	Facility		$15.68	$20.47	$39.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.91 / $21.75 / $27.23	Professional		$18.91	$21.75	$27.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $18.91 / $20.50 / $41.74	Facility		$18.91	$20.50	$41.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.91 / $22.88 / $54.84	Facility		$18.91	$22.88	$54.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.91 / $23.64 / $30.97	Professional		$18.91	$23.64	$30.97
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $36.86 / $58.38 / $78.12	Facility		$36.86	$58.38	$78.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $16.80 / $24.12 / $46.77	Professional		$16.80	$24.12	$46.77
United Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $10.81 / $22.69	Professional		$7.94	$10.81	$22.69