Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $53.70 / $89.13	Facility		$36.31	$53.70	$89.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $37.15 / $107.15	Professional		$36.31	$37.15	$107.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $61.66 / $72.44	Facility		$34.67	$61.66	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $41.69	Professional		$36.31	$36.31	$41.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $79.43 / $95.50	Professional		$60.26	$79.43	$95.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $40.74 / $74.13	Facility		$36.31	$40.74	$74.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $38.90 / $57.54	Professional		$36.31	$38.90	$57.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $45.71 / $75.86	Facility		$37.15	$45.71	$75.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $38.02 / $69.18	Facility		$36.31	$38.02	$69.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $45.71 / $79.43	Professional		$36.31	$45.71	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $63.10 / $109.65	Facility		$31.62	$63.10	$109.65
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $36.31 / $51.29	Professional		$34.67	$36.31	$51.29
United Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $89.13	Facility		$36.31	$36.31	$89.13
United Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $41.69	Professional		$36.31	$36.31	$41.69