Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.50 / $98.70 / $173.35	Facility		$27.50	$98.70	$173.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.88 / $18.87 / $41.93	Professional		$17.88	$18.87	$41.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.83 / $54.80 / $74.70	Facility		$33.83	$54.80	$74.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.92 / $23.95 / $37.60	Professional		$14.92	$23.95	$37.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.81 / $50.48 / $54.46	Professional		$20.81	$50.48	$54.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18.14 / $26.16 / $70.09	Facility		$18.14	$26.16	$70.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $20.81 / $23.93 / $33.75	Professional		$20.81	$23.93	$33.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $20.81 / $28.09 / $45.94	Facility		$20.81	$28.09	$45.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.14 / $25.18 / $60.35	Facility		$18.14	$25.18	$60.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.81 / $26.01 / $34.07	Professional		$20.81	$26.01	$34.07
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $40.58 / $64.25 / $85.97	Facility		$40.58	$64.25	$85.97
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $18.54 / $26.53 / $51.69	Professional		$18.54	$26.53	$51.69
United Facility/Professional Professional Modifier Low / Median / High Price $8.74 / $11.89 / $24.97	Professional		$8.74	$11.89	$24.97