Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.51 / $30.41 / $52.96	Facility		$22.51	$30.41	$52.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.18 / $21.98 / $37.43	Professional		$21.18	$21.98	$37.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.39 / $23.39 / $45.02	Facility		$23.39	$23.39	$45.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.51 / $22.51 / $22.51	Professional		$22.51	$22.51	$22.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $170.00 / $170.00 / $178.00	Professional		$170.00	$170.00	$178.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $21.98 / $23.39 / $47.26	Facility		$21.98	$23.39	$47.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $23.39 / $26.90 / $30.41	Professional		$23.39	$26.90	$30.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $33.68 / $79,999.20 / $79,999.20	Facility		$33.68	$79,999.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.98 / $23.75 / $47.26	Facility		$21.98	$23.75	$47.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.51 / $27.59 / $30.24	Professional		$22.51	$27.59	$30.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $23.39 / $37.42 / $85.43	Facility		$23.39	$37.42	$85.43
United Facility/Professional Professional Modifier Low / Median / High Price $22.07 / $22.07 / $25.38	Professional		$22.07	$22.07	$25.38