Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.75 / $30.75 / $34.52	Facility		$30.75	$30.75	$34.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.75 / $23.32 / $46.22	Professional		$18.75	$23.32	$46.22
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $73.70 / $73.70 / $73.70	Professional	25	$73.70	$73.70	$73.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.26 / $40.26 / $40.26	Facility		$40.26	$40.26	$40.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.16 / $29.16 / $35.39	Professional		$29.16	$29.16	$35.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $44.32 / $61.74 / $77.95	Professional		$44.32	$61.74	$77.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $21.06 / $30.75 / $59.52	Facility		$21.06	$30.75	$59.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $35.50 / $48.03 / $74.50	Professional		$35.50	$48.03	$74.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $31.42 / $47.82 / $52.36	Facility		$31.42	$47.82	$52.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.91 / $30.75 / $59.52	Facility		$20.91	$30.75	$59.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.97 / $36.72 / $62.24	Professional		$23.97	$36.72	$62.24
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $33.33 / $41.15 / $62.43	Professional		$33.33	$41.15	$62.43
United Facility/Professional Professional Modifier Low / Median / High Price $38.68 / $53.29 / $80.84	Professional		$38.68	$53.29	$80.84