Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $104.71 / $501.19	Facility		$20.89	$104.71	$501.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $18.20 / $30.90	Professional		$8.91	$18.20	$30.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $15.14	Professional		$15.14	$15.14	$15.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $53.70 / $151.36	Professional		$38.02	$53.70	$151.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $23.44 / $34.67	Facility		$19.95	$23.44	$34.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $23.44 / $30.90	Professional		$21.38	$23.44	$30.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $28.84 / $29.51	Facility		$23.44	$28.84	$29.51
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $29.51 / $29.51	Professional		$26.30	$29.51	$29.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $26.92 / $40.74	Facility		$17.78	$26.92	$40.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $28.18 / $79.43	Professional		$15.14	$28.18	$79.43
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $33.11 / $33.11	Professional		$31.62	$33.11	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $12.59 / $20.89	Professional		$8.32	$12.59	$20.89