Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.96 / $46.20 / $73.38	Facility		$36.96	$46.20	$73.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.69 / $37.06 / $63.57	Professional		$36.69	$37.06	$63.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.61 / $62.12 / $75.06	Facility		$34.61	$62.12	$75.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.69 / $36.69 / $43.27	Professional		$36.69	$36.69	$43.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $61.82 / $80.97 / $104.68	Professional		$61.82	$80.97	$104.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $36.69 / $38.52 / $81.67	Facility		$36.69	$38.52	$81.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $36.69 / $38.89 / $47.70	Professional		$36.69	$38.89	$47.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $36.69 / $42.23 / $110.07	Facility		$36.69	$42.23	$110.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $36.69 / $40.08 / $78.88	Facility		$36.69	$40.08	$78.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.69 / $46.18 / $50.13	Professional		$36.69	$46.18	$50.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $41.21 / $62.67 / $136.82	Facility		$41.21	$62.67	$136.82
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $36.69 / $36.69 / $44.03	Professional		$36.69	$36.69	$44.03
United Facility/Professional Professional Modifier Low / Median / High Price $36.69 / $36.69 / $42.19	Professional		$36.69	$36.69	$42.19