Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.61 / $66.65 / $116.22	Facility		$38.61	$66.65	$116.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.55 / $19.30 / $61.18	Professional		$12.55	$19.30	$61.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.38 / $50.83 / $66.04	Facility		$31.38	$50.83	$66.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.16 / $14.14 / $27.66	Professional		$10.16	$14.14	$27.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.30 / $47.34 / $51.07	Professional		$19.30	$47.34	$51.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18.73 / $20.60 / $55.18	Facility		$18.73	$20.60	$55.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.30 / $23.17 / $31.07	Professional		$19.30	$23.17	$31.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $19.30 / $20.28 / $79,999.20	Facility		$19.30	$20.28	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.88 / $23.17 / $50.83	Facility		$18.88	$23.17	$50.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.39 / $21.36 / $30.11	Professional		$18.39	$21.36	$30.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $37.65 / $58.76 / $79.78	Facility		$37.65	$58.76	$79.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $23.45 / $47.59	Professional		$17.38	$23.45	$47.59
United Facility/Professional Professional Modifier Low / Median / High Price $8.11 / $9.11 / $23.17	Professional		$8.11	$9.11	$23.17