Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.78 / $27.78 / $31.88	Facility		$27.78	$27.78	$31.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.26 / $24.61 / $40.75	Professional		$20.26	$24.61	$40.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.97 / $38.97 / $38.97	Facility		$38.97	$38.97	$38.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $40.21 / $66.62	Professional		$19.00	$40.21	$66.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $34.77 / $49.21 / $63.29	Professional		$34.77	$49.21	$63.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $21.58 / $27.78 / $51.69	Facility		$21.58	$27.78	$51.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $28.99 / $43.40 / $74.26	Professional		$28.99	$43.40	$74.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $29.04 / $44.02 / $50.92	Facility		$29.04	$44.02	$50.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.58 / $27.78 / $53.76	Facility		$21.58	$27.78	$53.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.16 / $38.88 / $61.60	Professional		$22.16	$38.88	$61.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $23.93 / $32.25 / $55.84	Professional		$23.93	$32.25	$55.84
United Facility/Professional Professional Modifier Low / Median / High Price $19.52 / $35.40 / $66.26	Professional		$19.52	$35.40	$66.26