Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.97 / $30.17 / $58.27	Facility		$24.97	$30.17	$58.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.50 / $20.19 / $110.77	Professional		$18.50	$20.19	$110.77
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 $17.27 / $20.81 / $69.72	Facility		$17.27	$20.81	$69.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $20.81 / $23.93 / $29.48	Professional		$20.81	$23.93	$29.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $20.81 / $22.89 / $45.94	Facility		$20.81	$22.89	$45.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.87 / $24.97 / $60.35	Facility		$18.87	$24.97	$60.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.81 / $24.97 / $34.07	Professional		$20.81	$24.97	$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