Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.13 / $50.91 / $98.31	Facility		$42.13	$50.91	$98.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.09 / $34.06 / $68.89	Professional		$20.09	$34.06	$68.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.05 / $87.86 / $102.01	Facility		$57.05	$87.86	$102.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.08 / $37.18 / $62.86	Professional		$12.08	$37.18	$62.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.11 / $85.97 / $92.77	Professional		$35.11	$85.97	$92.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.50 / $35.11 / $73.23	Facility		$12.50	$35.11	$73.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $22.89 / $35.11 / $43.89	Professional		$22.89	$35.11	$43.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $35.11 / $38.61 / $77.51	Facility		$35.11	$38.61	$77.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.57 / $42.13 / $87.86	Facility		$25.57	$42.13	$87.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.73 / $38.61 / $49.15	Professional		$21.73	$38.61	$49.15
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $68.45 / $106.84 / $137.84	Facility		$68.45	$106.84	$137.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $17.20 / $31.95 / $86.15	Professional		$17.20	$31.95	$86.15
United Facility/Professional Professional Modifier Low / Median / High Price $9.61 / $14.75 / $42.13	Professional		$9.61	$14.75	$42.13