Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.00 / $86.72 / $137.55	Facility		$34.00	$86.72	$137.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.27 / $25.09 / $34.69	Professional		$18.27	$25.09	$34.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.68 / $73.98 / $100.86	Facility		$45.68	$73.98	$100.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.25 / $32.21 / $50.52	Professional		$20.25	$32.21	$50.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.10 / $68.63 / $74.04	Professional		$28.10	$68.63	$74.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $25.47 / $38.97 / $124.00	Facility		$25.47	$38.97	$124.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $28.10 / $32.32 / $52.50	Professional		$28.10	$32.32	$52.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $28.10 / $37.94 / $62.03	Facility		$28.10	$37.94	$62.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.47 / $35.33 / $81.48	Facility		$25.47	$35.33	$81.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.10 / $35.13 / $46.00	Professional		$28.10	$35.13	$46.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $54.80 / $86.73 / $116.09	Facility		$54.80	$86.73	$116.09
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $25.20 / $35.82 / $68.92	Professional		$25.20	$35.82	$68.92
United Facility/Professional Professional Modifier Low / Median / High Price $11.80 / $16.05 / $39.70	Professional		$11.80	$16.05	$39.70