Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $30.20 / $87.10	Facility		$24.55	$30.20	$87.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $18.20 / $38.02	Professional		$14.13	$18.20	$38.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $51.29 / $70.79	Facility		$31.62	$51.29	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $19.50 / $35.48	Professional		$12.88	$19.50	$35.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $42.66 / $50.12	Professional		$19.50	$42.66	$50.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $19.50 / $24.55	Facility		$19.50	$19.50	$24.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $23.44 / $32.36	Professional		$19.50	$23.44	$32.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $19.50 / $37.15	Facility		$19.50	$19.50	$37.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $28.18 / $66.07	Facility		$19.05	$28.18	$66.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $24.55 / $79.43	Professional		$19.50	$24.55	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $58.88 / $81.28	Facility		$29.51	$58.88	$81.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $19.50 / $25.12	Professional		$14.79	$19.50	$25.12
United Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $23.44 / $31.62	Facility		$23.44	$23.44	$31.62
United Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $11.22 / $27.54	Professional		$8.13	$11.22	$27.54