Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $41.69 / $120.23	Facility		$33.88	$41.69	$120.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $23.99 / $44.67	Professional		$18.20	$23.99	$44.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $70.79 / $77.62	Facility		$43.65	$70.79	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $28.84 / $51.29	Professional		$13.49	$28.84	$51.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $57.54 / $70.79	Professional		$26.92	$57.54	$70.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $26.92 / $39.81	Facility		$26.92	$26.92	$39.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $29.51 / $38.90	Professional		$26.92	$29.51	$38.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $26.92 / $51.29	Facility		$26.92	$26.92	$51.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $38.90 / $79.43	Facility		$25.12	$38.90	$79.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $32.36 / $79.43	Professional		$23.99	$32.36	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $81.28 / $112.20	Facility		$40.74	$81.28	$112.20
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $22.91 / $32.36	Professional		$21.38	$22.91	$32.36
United Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $32.36 / $42.66	Facility		$32.36	$32.36	$42.66
United Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $11.48 / $32.36	Professional		$11.22	$11.48	$32.36