Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.36 / $34.36 / $34.36	Facility		$34.36	$34.36	$34.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.53 / $23.09 / $113.26	Professional		$21.53	$23.09	$113.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.37 / $28.37 / $28.37	Facility		$28.37	$28.37	$28.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.11 / $28.37 / $31.70	Professional		$24.11	$28.37	$31.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.16 / $34.46 / $110.18	Professional		$30.16	$34.46	$110.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $21.53 / $32.36 / $43.08	Facility		$21.53	$32.36	$43.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4.09 / $32.60 / $43.08	Professional		$4.09	$32.60	$43.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $38.34 / $42.07 / $47.39	Facility		$38.34	$42.07	$47.39
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $39.25 / $43.08 / $46.18	Professional		$39.25	$43.08	$46.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.16 / $30.83 / $43.08	Facility		$13.16	$30.83	$43.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.37 / $37.72 / $42.07	Professional		$28.37	$37.72	$42.07
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $60.90 / $60.90 / $71.64	Facility		$60.90	$60.90	$71.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $41.00 / $41.00 / $41.00	Professional		$41.00	$41.00	$41.00
United Facility/Professional Professional Modifier Low / Median / High Price $18.44 / $19.57 / $38.34	Professional		$18.44	$19.57	$38.34