Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.63 / $37.68 / $181.24	Professional		$27.63	$37.68	$181.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.36 / $38.36 / $38.36	Facility		$38.36	$38.36	$38.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.00 / $28.00 / $38.36	Professional		$28.00	$28.00	$38.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $43.97 / $121.45 / $158.40	Professional		$43.97	$121.45	$158.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $35.25 / $51.62 / $62.81	Facility		$35.25	$51.62	$62.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $46.70 / $59.04 / $65.95	Professional		$46.70	$59.04	$65.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $49.85 / $62.81 / $69.09	Facility		$49.85	$62.81	$69.09
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $56.53 / $62.81 / $65.06	Professional		$56.53	$62.81	$65.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $37.68 / $53.88 / $65.95	Facility		$37.68	$53.88	$65.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.00 / $55.00 / $69.09	Professional		$28.00	$55.00	$69.09
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $52.33 / $104.46 / $220.36	Facility		$52.33	$104.46	$220.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $54.02 / $69.09 / $69.09	Professional		$54.02	$69.09	$69.09
United Facility/Professional Professional Modifier Low / Median / High Price $27.29 / $28.69 / $54.73	Professional		$27.29	$28.69	$54.73