Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.14 / $31.58 / $60.98	Facility		$26.14	$31.58	$60.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.22 / $21.13 / $84.02	Professional		$19.22	$21.13	$84.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.40 / $57.33 / $63.30	Facility		$35.40	$57.33	$63.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.54 / $23.15 / $39.36	Professional		$11.54	$23.15	$39.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.78 / $52.85 / $57.01	Professional		$21.78	$52.85	$57.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.89 / $21.78 / $45.43	Facility		$10.89	$21.78	$45.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.64 / $21.78 / $29.40	Professional		$19.64	$21.78	$29.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $21.78 / $23.96 / $48.08	Facility		$21.78	$23.96	$48.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.89 / $26.14 / $57.33	Facility		$10.89	$26.14	$57.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.64 / $23.96 / $30.49	Professional		$18.64	$23.96	$30.49
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $42.47 / $66.28 / $89.98	Facility		$42.47	$66.28	$89.98
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $14.76 / $19.82 / $53.33	Professional		$14.76	$19.82	$53.33
United Facility/Professional Professional Modifier Low / Median / High Price $9.13 / $9.15 / $26.14	Professional		$9.13	$9.15	$26.14