Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.16 / $39.50 / $71.09	Facility		$31.16	$39.50	$71.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.54 / $35.90 / $59.76	Professional		$35.54	$35.90	$59.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.54 / $57.73 / $67.98	Facility		$33.54	$57.73	$67.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.54 / $35.54 / $38.57	Professional		$35.54	$35.54	$38.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.40 / $78.83 / $91.32	Professional		$35.40	$78.83	$91.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.84 / $44.92 / $76.43	Facility		$15.84	$44.92	$76.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $35.54 / $37.69 / $46.22	Professional		$35.54	$37.69	$46.22
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $40.65 / $106.65	Facility		$33.88	$40.65	$106.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $31.26 / $50.02 / $76.43	Facility		$31.26	$50.02	$76.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.16 / $38.57 / $42.49	Professional		$16.16	$38.57	$42.49
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $25.13 / $42.81 / $87.03	Facility		$25.13	$42.81	$87.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $35.54 / $35.54 / $35.54	Professional		$35.54	$35.54	$35.54
United Facility/Professional Professional Modifier Low / Median / High Price $35.54 / $35.54 / $35.54	Professional		$35.54	$35.54	$35.54