Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $756.44 / $931.00 / $2,688.64	Facility		$756.44	$931.00	$2,688.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.28 / $485.31 / $813.25	Professional		$23.28	$485.31	$813.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.75 / $35.75 / $35.75	Facility		$35.75	$35.75	$35.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.26 / $32.25 / $80.26	Professional		$24.26	$32.25	$80.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.69 / $44.93 / $64.04	Professional		$21.69	$44.93	$64.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.28 / $25.85 / $118.06	Facility		$15.28	$25.85	$118.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $36.29 / $51.70 / $74.73	Professional		$36.29	$51.70	$74.73
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $36.47 / $50.41 / $97.50	Facility		$36.47	$50.41	$97.50
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $41.37 / $41.37 / $41.37	Professional		$41.37	$41.37	$41.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.91 / $52.22 / $70.79	Facility		$21.91	$52.22	$70.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $32.25 / $46.15 / $77.91	Professional		$32.25	$46.15	$77.91
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $42.49 / $44.99 / $75.83	Professional		$42.49	$44.99	$75.83
United Facility/Professional Professional Modifier Low / Median / High Price $13.43 / $25.26 / $78.56	Professional		$13.43	$25.26	$78.56