Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $177.83 / $524.81	Facility		$33.88	$177.83	$524.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $64.57 / $147.91	Professional		$15.49	$64.57	$147.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $46.77 / $64.57	Facility		$28.84	$46.77	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $17.78 / $32.36	Professional		$11.75	$17.78	$32.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $38.90 / $45.71	Professional		$17.78	$38.90	$45.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $19.95 / $478.63	Facility		$17.78	$19.95	$478.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $21.88 / $39.81	Professional		$17.78	$21.88	$39.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $17.78 / $33.88	Facility		$17.78	$17.78	$33.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $25.12 / $53.70	Facility		$16.22	$25.12	$53.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $21.38 / $79.43	Professional		$17.78	$21.38	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $53.70 / $74.13	Facility		$26.92	$53.70	$74.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $16.22 / $21.38	Professional		$13.49	$16.22	$21.38
United Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $21.38 / $28.84	Facility		$21.38	$21.38	$28.84
United Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $10.23 / $25.12	Professional		$7.59	$10.23	$25.12