Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.54 / $26.54 / $26.54	Facility		$26.54	$26.54	$26.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.30 / $26.98 / $36.47	Professional		$5.30	$26.98	$36.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.97 / $5.97 / $5.97	Facility		$5.97	$5.97	$5.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $25.56 / $27.78	Professional		$19.00	$25.56	$27.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $7.55 / $10.49 / $14.25	Professional		$7.55	$10.49	$14.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.60 / $30.60 / $30.60	Professional		$30.60	$30.60	$30.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $5.31 / $26.54 / $36.47	Facility		$5.31	$26.54	$36.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $22.50 / $23.27 / $23.97	Professional		$22.50	$23.27	$23.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $6.43 / $10.39 / $10.72	Facility		$6.43	$10.39	$10.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $5.30 / $26.54 / $36.47	Facility		$5.30	$26.54	$36.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.98 / $25.56 / $40.00	Professional		$10.98	$25.56	$40.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $28.50 / $28.50 / $28.50	Professional		$28.50	$28.50	$28.50
United Facility/Professional Professional Modifier Low / Median / High Price $8.96 / $14.03 / $26.32	Professional		$8.96	$14.03	$26.32