Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.87 / $56.87 / $56.87	Facility		$56.87	$56.87	$56.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.18 / $23.43 / $40.32	Professional		$18.18	$23.43	$40.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.32 / $22.32 / $22.32	Professional		$22.32	$22.32	$22.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.93 / $49.57 / $70.65	Professional		$23.93	$49.57	$70.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.58 / $29.20 / $69.66	Facility		$14.58	$29.20	$69.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $36.15 / $43.91 / $79.56	Professional		$36.15	$43.91	$79.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $29.35 / $46.93 / $51.10	Facility		$29.35	$46.93	$51.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.13 / $53.03 / $69.84	Facility		$22.13	$53.03	$69.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.32 / $44.36 / $66.79	Professional		$22.32	$44.36	$66.79
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $36.82 / $44.23 / $75.53	Professional		$36.82	$44.23	$75.53
United Facility/Professional Professional Modifier Low / Median / High Price $15.81 / $15.81 / $52.70	Professional		$15.81	$15.81	$52.70