Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.47 / $45.35 / $67.76	Facility		$34.47	$45.35	$67.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $2,075.40 / $4,536.00	Professional		$33.88	$2,075.40	$4,536.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.96 / $49.88 / $69.44	Facility		$31.96	$49.88	$69.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $38.35	Professional		$33.88	$33.88	$38.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $60.22 / $77.61 / $100.97	Professional		$60.22	$77.61	$100.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $35.57 / $75.42	Facility		$33.88	$35.57	$75.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $37.27 / $44.04	Professional		$33.88	$37.27	$44.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $34.47 / $70.31	Facility		$33.88	$34.47	$70.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $42.69 / $73.14	Facility		$33.88	$42.69	$73.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $44.06 / $47.58	Professional		$33.88	$44.06	$47.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $38.06 / $57.09 / $132.03	Facility		$38.06	$57.09	$132.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Professional		$33.88	$33.88	$33.88
United Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $38.96	Professional		$33.88	$33.88	$38.96