Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Facility		$117.49	$117.49	$117.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $23.99 / $30.20	Professional		$14.13	$23.99	$30.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $42.66	Facility		$42.66	$42.66	$42.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $13.80 / $13.80	Professional		$13.80	$13.80	$13.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $45.71 / $75.86	Professional		$26.30	$45.71	$75.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $26.30 / $79.43	Facility		$25.12	$26.30	$79.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $35.48 / $44.67	Professional		$23.99	$35.48	$44.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $26.30 / $37.15	Facility		$26.30	$26.30	$37.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $38.02 / $58.88	Facility		$23.99	$38.02	$58.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $26.30 / $41.69	Professional		$14.13	$26.30	$41.69
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $93.33	Facility		$52.48	$52.48	$93.33
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $22.39 / $31.62	Professional		$20.89	$22.39	$31.62
United Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $15.14 / $37.15	Professional		$11.22	$15.14	$37.15