Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $50.74 / $132.79	Facility		$30.00	$50.74	$132.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.37 / $32.68 / $99.39	Professional		$25.37	$32.68	$99.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.93 / $47.31 / $66.80	Facility		$23.93	$47.31	$66.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.37 / $25.37 / $27.52	Professional		$25.37	$25.37	$27.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.37 / $61.79 / $87.66	Professional		$25.37	$61.79	$87.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $25.37 / $36.28 / $153.47	Facility		$25.37	$36.28	$153.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $25.37 / $26.89 / $32.97	Professional		$25.37	$26.89	$32.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $25.37 / $31.72 / $58.16	Facility		$25.37	$31.72	$58.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.37 / $47.31 / $98.95	Facility		$25.37	$47.31	$98.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.52 / $32.79 / $77.56	Professional		$27.52	$32.79	$77.56
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $25.37 / $25.37 / $25.37	Professional		$25.37	$25.37	$25.37
United Facility/Professional Professional Modifier Low / Median / High Price $25.37 / $25.37 / $25.37	Professional		$25.37	$25.37	$25.37