Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.01 / $42.35 / $67.06	Facility		$27.01	$42.35	$67.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.06 / $23.23 / $42.85	Professional		$15.06	$23.23	$42.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.43 / $45.31 / $52.61	Facility		$29.43	$45.31	$52.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.55 / $23.63 / $38.32	Professional		$10.55	$23.63	$38.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.27 / $44.05 / $56.37	Professional		$22.27	$44.05	$56.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.11 / $33.22 / $81.23	Facility		$16.11	$33.22	$81.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $29.88 / $39.61 / $74.26	Professional		$29.88	$39.61	$74.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $29.15 / $44.27 / $49.40	Facility		$29.15	$44.27	$49.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.23 / $48.14 / $70.00	Facility		$23.23	$48.14	$70.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.95 / $42.70 / $58.48	Professional		$23.95	$42.70	$58.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $85.29 / $111.47	Facility		$58.88	$85.29	$111.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $35.90 / $45.59 / $64.43	Professional		$35.90	$45.59	$64.43
United Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $14.51 / $55.19	Professional		$13.80	$14.51	$55.19