Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $87.10 / $162.18	Facility		$27.54	$87.10	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $15.14 / $87.10	Professional		$12.30	$15.14	$87.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $44.67 / $60.26	Facility		$27.54	$44.67	$60.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $19.50 / $33.88	Professional		$11.22	$19.50	$33.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $36.31 / $42.66	Professional		$16.98	$36.31	$42.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $56.23 / $151.36	Facility		$16.98	$56.23	$151.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $19.95 / $31.62	Professional		$14.79	$19.95	$31.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $16.98 / $31.62	Facility		$16.98	$16.98	$31.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $23.99 / $56.23	Facility		$16.22	$23.99	$56.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $20.89 / $79.43	Professional		$16.98	$20.89	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $50.12 / $69.18	Facility		$25.12	$50.12	$69.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $16.98 / $21.38	Professional		$12.59	$16.98	$21.38
United Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $19.95 / $26.92	Facility		$19.95	$19.95	$26.92
United Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $9.55 / $23.44	Professional		$7.08	$9.55	$23.44