Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.24 / $105.24 / $105.24	Facility		$105.24	$105.24	$105.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.64 / $35.89 / $82.33	Professional		$12.64	$35.89	$82.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.59 / $68.59 / $68.59	Facility		$68.59	$68.59	$68.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.11 / $44.39 / $66.31	Professional		$8.11	$44.39	$66.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.22 / $75.14 / $121.35	Professional		$42.22	$75.14	$121.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $25.83 / $39.69 / $915.12	Facility		$25.83	$39.69	$915.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $17.84 / $42.22 / $57.00	Professional		$17.84	$42.22	$57.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $42.22 / $42.22 / $74.75	Facility		$42.22	$42.22	$74.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.08 / $50.66 / $68.59	Facility		$28.08	$50.66	$68.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.19 / $46.44 / $60.80	Professional		$20.19	$46.44	$60.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $84.44 / $84.44 / $147.77	Facility		$84.44	$84.44	$147.77
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $74.81 / $83.02 / $135.63	Professional		$74.81	$83.02	$135.63
United Facility/Professional Professional Modifier Low / Median / High Price $25.33 / $26.95 / $131.32	Professional		$25.33	$26.95	$131.32