Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.35 / $23.35 / $95.72	Facility		$23.35	$23.35	$95.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.85 / $23.87 / $56.32	Professional		$20.85	$23.87	$56.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.76 / $29.76 / $29.76	Facility		$29.76	$29.76	$29.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.81 / $23.81 / $23.81	Professional		$23.81	$23.81	$23.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.04 / $59.72 / $73.76	Professional		$51.04	$59.72	$73.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $22.05 / $39.00 / $61.42	Facility		$22.05	$39.00	$61.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $32.50 / $45.29 / $75.23	Professional		$32.50	$45.29	$75.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $29.48 / $44.88 / $52.26	Facility		$29.48	$44.88	$52.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.05 / $53.28 / $75.66	Facility		$24.05	$53.28	$75.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.81 / $51.09 / $67.34	Professional		$23.81	$51.09	$67.34
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $40.07 / $52.17 / $67.33	Professional		$40.07	$52.17	$67.33
United Facility/Professional Professional Modifier Low / Median / High Price $23.82 / $47.00 / $81.89	Professional		$23.82	$47.00	$81.89