Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $31.62 / $41.69	Facility		$23.44	$31.62	$41.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $15.49 / $44.67	Professional		$10.96	$15.49	$44.67
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $44.67 / $44.67 / $44.67	Professional	25	$44.67	$44.67	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $26.92 / $41.69	Professional		$14.79	$26.92	$41.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $27.54 / $38.02	Professional		$19.95	$27.54	$38.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $16.60 / $28.18	Facility		$10.96	$16.60	$28.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $26.30 / $38.90	Professional		$14.13	$26.30	$38.90
Moda Health Facility/Professional Professional Modifier 25 Low / Median / High Price $44.67 / $44.67 / $44.67	Professional	25	$44.67	$44.67	$44.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $29.51 / $30.20	Facility		$19.95	$29.51	$30.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $16.22 / $27.54	Facility		$10.96	$16.22	$27.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $30.20 / $41.69	Professional		$23.44	$30.20	$41.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $27.54 / $37.15	Professional		$20.42	$27.54	$37.15
United Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $25.12 / $36.31	Professional		$14.79	$25.12	$36.31