Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.20 / $94.69 / $336.17	Facility		$34.20	$94.69	$336.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.23 / $17.93 / $22.86	Professional		$17.23	$17.93	$22.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.29 / $62.05 / $71.03	Facility		$38.29	$62.05	$71.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.21 / $25.80 / $42.30	Professional		$14.21	$25.80	$42.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.57 / $57.58 / $62.14	Professional		$23.57	$57.58	$62.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.41 / $24.89 / $49.15	Facility		$16.41	$24.89	$49.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $23.57 / $26.95 / $36.75	Professional		$23.57	$26.95	$36.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $23.57 / $27.60 / $52.03	Facility		$23.57	$27.60	$52.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.94 / $28.28 / $62.05	Facility		$17.94	$28.28	$62.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.57 / $25.93 / $33.00	Professional		$23.57	$25.93	$33.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $45.96 / $71.72 / $97.38	Facility		$45.96	$71.72	$97.38
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $20.21 / $25.22 / $58.26	Professional		$20.21	$25.22	$58.26
United Facility/Professional Professional Modifier Low / Median / High Price $9.90 / $11.31 / $28.28	Professional		$9.90	$11.31	$28.28