Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.12 / $49.12 / $49.12	Facility		$49.12	$49.12	$49.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.54 / $38.54 / $44.71	Professional		$38.54	$38.54	$44.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.36 / $63.45 / $100.96	Facility		$36.36	$63.45	$100.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.54 / $38.54 / $45.45	Professional		$38.54	$38.54	$45.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $96.40 / $118.29 / $130.16	Professional		$96.40	$118.29	$130.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $27.26 / $44.84 / $82.86	Facility		$27.26	$44.84	$82.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $38.54 / $40.86 / $50.10	Professional		$38.54	$40.86	$50.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $38.54 / $49.12 / $82.73	Facility		$38.54	$49.12	$82.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.46 / $48.27 / $82.86	Facility		$28.46	$48.27	$82.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.54 / $55.79 / $58.63	Professional		$38.54	$55.79	$58.63
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $36.61 / $38.54 / $38.54	Professional		$36.61	$38.54	$38.54
United Facility/Professional Professional Modifier Low / Median / High Price $38.54 / $38.54 / $44.32	Professional		$38.54	$38.54	$44.32