Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.26 / $45.33 / $19,514.57	Facility		$36.26	$45.33	$19,514.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.28 / $37.36 / $49.82	Professional		$36.28	$37.36	$49.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.22 / $60.17 / $71.59	Facility		$34.22	$60.17	$71.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.28 / $36.28 / $41.07	Professional		$36.28	$36.28	$41.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $60.74 / $79.54 / $101.90	Professional		$60.74	$79.54	$101.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $36.26 / $38.09 / $78.00	Facility		$36.26	$38.09	$78.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $36.28 / $41.72 / $47.16	Professional		$36.28	$41.72	$47.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $34.93 / $36.28 / $75.25	Facility		$34.93	$36.28	$75.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $36.28 / $41.58 / $78.00	Facility		$36.28	$41.58	$78.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.28 / $41.58 / $46.20	Professional		$36.28	$41.58	$46.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $32.03 / $53.80 / $121.66	Facility		$32.03	$53.80	$121.66
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $36.28 / $36.28 / $39.90	Professional		$36.28	$36.28	$39.90
United Facility/Professional Professional Modifier Low / Median / High Price $36.28 / $36.28 / $41.72	Professional		$36.28	$36.28	$41.72