Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.47 / $28.36 / $54.77	Facility		$23.47	$28.36	$54.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.39 / $18.97 / $106.09	Professional		$18.39	$18.97	$106.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.78 / $51.48 / $70.20	Facility		$31.78	$51.48	$70.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.03 / $22.30 / $35.25	Professional		$14.03	$22.30	$35.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.55 / $47.34 / $51.07	Professional		$19.55	$47.34	$51.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18.97 / $23.66 / $65.56	Facility		$18.97	$23.66	$65.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.55 / $23.47 / $32.21	Professional		$19.55	$23.47	$32.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $19.55 / $23.47 / $43.18	Facility		$19.55	$23.47	$43.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.55 / $23.67 / $56.72	Facility		$19.55	$23.67	$56.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.55 / $24.45 / $32.02	Professional		$19.55	$24.45	$32.02
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $38.14 / $60.38 / $80.81	Facility		$38.14	$60.38	$80.81
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $24.93 / $48.41	Professional		$17.38	$24.93	$48.41
United Facility/Professional Professional Modifier Low / Median / High Price $8.22 / $11.18 / $23.47	Professional		$8.22	$11.18	$23.47