Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.10 / $30.53 / $193.11	Professional		$25.10	$30.53	$193.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.77 / $34.77 / $34.77	Facility		$34.77	$34.77	$34.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.38 / $25.38 / $34.77	Professional		$25.38	$25.38	$34.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.13 / $106.53 / $138.94	Professional		$35.13	$106.53	$138.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.53 / $41.83 / $51.23	Facility		$30.53	$41.83	$51.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $37.33 / $47.68 / $50.19	Professional		$37.33	$47.68	$50.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $39.85 / $49.02 / $55.21	Facility		$39.85	$49.02	$55.21
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $39.85 / $50.19 / $55.21	Professional		$39.85	$50.19	$55.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.53 / $43.66 / $52.70	Facility		$30.53	$43.66	$52.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.38 / $43.95 / $55.21	Professional		$25.38	$43.95	$55.21
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $41.82 / $83.48 / $176.09	Facility		$41.82	$83.48	$176.09
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $43.16 / $55.21 / $55.21	Professional		$43.16	$55.21	$55.21
United Facility/Professional Professional Modifier Low / Median / High Price $23.93 / $25.04 / $49.02	Professional		$23.93	$25.04	$49.02