Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.26 / $60.18 / $74.05	Facility		$57.26	$60.18	$74.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.01 / $41.84 / $102.80	Professional		$29.01	$41.84	$102.80
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $41.32 / $41.32 / $41.32	Professional	25	$41.32	$41.32	$41.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.92 / $39.92 / $39.92	Facility		$39.92	$39.92	$39.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.62 / $70.51 / $104.97	Professional		$41.62	$70.51	$104.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $56.71 / $75.94 / $97.67	Professional		$56.71	$75.94	$97.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $32.45 / $49.75 / $100.43	Facility		$32.45	$49.75	$100.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $47.50 / $67.86 / $103.92	Professional		$47.50	$67.86	$103.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $47.03 / $78.27 / $79.06	Facility		$47.03	$78.27	$79.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.38 / $52.24 / $100.43	Facility		$33.38	$52.24	$100.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $56.93 / $75.77 / $102.96	Professional		$56.93	$75.77	$102.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $50.16 / $73.11 / $106.45	Professional		$50.16	$73.11	$106.45
United Facility/Professional Professional Modifier Low / Median / High Price $53.82 / $79.55 / $121.22	Professional		$53.82	$79.55	$121.22