Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.78 / $33.78 / $33.78	Facility		$33.78	$33.78	$33.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.59 / $19.59 / $112.78	Professional		$19.59	$19.59	$112.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.30 / $27.30 / $27.30	Facility		$27.30	$27.30	$27.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.21 / $27.30 / $29.21	Professional		$23.21	$27.30	$29.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.26 / $80.51 / $108.29	Professional		$26.26	$80.51	$108.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.59 / $34.57 / $42.02	Facility		$19.59	$34.57	$42.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3.75 / $34.54 / $37.52	Professional		$3.75	$34.54	$37.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $37.52 / $38.46 / $48.25	Facility		$37.52	$38.46	$48.25
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $37.52 / $38.46 / $43.86	Professional		$37.52	$38.46	$43.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.61 / $33.10 / $41.55	Facility		$14.61	$33.10	$41.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.30 / $34.39 / $42.71	Professional		$27.30	$34.39	$42.71
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $32.65 / $65.00 / $137.79	Facility		$32.65	$65.00	$137.79
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $37.47 / $37.47 / $37.47	Professional		$37.47	$37.47	$37.47
United Facility/Professional Professional Modifier Low / Median / High Price $18.37 / $18.50 / $35.58	Professional		$18.37	$18.50	$35.58