Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.50 / $34.25 / $55.70	Facility		$26.50	$34.25	$55.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.85 / $28.12 / $2,384.46	Professional		$27.85	$28.12	$2,384.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.17 / $32.04 / $49.88	Facility		$22.17	$32.04	$49.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.49 / $27.85 / $27.85	Professional		$25.49	$27.85	$27.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.15 / $58.23 / $67.47	Professional		$26.15	$58.23	$67.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $27.85 / $39.83 / $94.62	Facility		$27.85	$39.83	$94.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $27.85 / $29.52 / $36.21	Professional		$27.85	$29.52	$36.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $26.01 / $31.45 / $83.55	Facility		$26.01	$31.45	$83.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.88 / $20.47 / $47.18	Facility		$17.88	$20.47	$47.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.85 / $29.06 / $32.84	Professional		$27.85	$29.06	$32.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $30.80 / $73.83 / $183.84	Facility		$30.80	$73.83	$183.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $27.85 / $27.85 / $27.85	Professional		$27.85	$27.85	$27.85
United Facility/Professional Professional Modifier Low / Median / High Price $27.85 / $27.85 / $31.00	Professional		$27.85	$27.85	$31.00