Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.52 / $45.40 / $51.37	Facility		$38.52	$45.40	$51.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.76 / $32.54 / $47.87	Professional		$24.76	$32.54	$47.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.60 / $42.60 / $42.60	Facility		$42.60	$42.60	$42.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $66.08 / $92.44	Professional		$38.02	$66.08	$92.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $46.55 / $65.06 / $81.70	Professional		$46.55	$65.06	$81.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $28.85 / $45.40 / $75.58	Facility		$28.85	$45.40	$75.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $41.24 / $57.73 / $86.45	Professional		$41.24	$57.73	$86.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $45.14 / $64.84 / $68.68	Facility		$45.14	$64.84	$68.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.85 / $45.13 / $79.80	Facility		$28.85	$45.13	$79.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $34.20 / $59.11 / $85.43	Professional		$34.20	$59.11	$85.43
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $46.22 / $57.25 / $83.79	Professional		$46.22	$57.25	$83.79
United Facility/Professional Professional Modifier Low / Median / High Price $28.56 / $46.16 / $88.92	Professional		$28.56	$46.16	$88.92