Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $50.12 / $120.23	Facility		$33.11	$50.12	$120.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $25.12 / $40.74	Professional		$18.20	$25.12	$40.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $70.79 / $89.13	Facility		$43.65	$70.79	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $26.92 / $47.86	Professional		$16.22	$26.92	$47.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $57.54 / $69.18	Professional		$26.92	$57.54	$69.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $26.92 / $31.62	Facility		$26.92	$26.92	$31.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $33.11 / $48.98	Professional		$26.92	$33.11	$48.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $26.92 / $54.95	Facility		$26.92	$26.92	$54.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $38.02 / $81.28	Facility		$23.99	$38.02	$81.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $31.62 / $79.43	Professional		$24.55	$31.62	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $79.43 / $109.65	Facility		$39.81	$79.43	$109.65
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $25.12 / $31.62	Professional		$19.95	$25.12	$31.62
United Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $31.62 / $42.66	Facility		$31.62	$31.62	$42.66
United Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $14.13 / $34.67	Professional		$11.22	$14.13	$34.67