Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.85 / $4,438.00 / $49,636.04	Facility		$28.85	$4,438.00	$49,636.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.86 / $30.95 / $5,312.00	Professional		$27.86	$30.95	$5,312.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.34 / $41.76 / $59.64	Facility		$22.34	$41.76	$59.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.80 / $27.86 / $29.82	Professional		$26.80	$27.86	$29.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $50.08 / $63.80 / $82.43	Professional		$50.08	$63.80	$82.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $27.86 / $29.25 / $92.10	Facility		$27.86	$29.25	$92.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $27.86 / $30.45 / $36.22	Professional		$27.86	$30.45	$36.22
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $27.35 / $32.04 / $83.58	Facility		$27.35	$32.04	$83.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.27 / $28.14 / $69.19	Facility		$24.27	$28.14	$69.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.86 / $34.81 / $39.74	Professional		$27.86	$34.81	$39.74
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $32.24 / $53.96 / $100.86	Facility		$32.24	$53.96	$100.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $27.86 / $27.86 / $30.65	Professional		$27.86	$27.86	$30.65
United Facility/Professional Professional Modifier Low / Median / High Price $27.86 / $27.86 / $32.32	Professional		$27.86	$27.86	$32.32