Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $54.95 / $128.82	Facility		$20.42	$54.95	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $10.47 / $77.62	Professional		$8.71	$10.47	$77.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $35.48 / $46.77	Facility		$21.88	$35.48	$46.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $15.14 / $39.81	Professional		$10.00	$15.14	$39.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $28.84 / $33.88	Professional		$13.49	$28.84	$33.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $33.11 / $125.89	Facility		$13.49	$33.11	$125.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $16.22 / $29.51	Professional		$10.00	$16.22	$29.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $13.49 / $29.51	Facility		$13.49	$13.49	$29.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $19.50 / $50.12	Facility		$12.88	$19.50	$50.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $16.60 / $79.43	Professional		$13.49	$16.60	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $39.81 / $54.95	Facility		$19.95	$39.81	$54.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $13.49 / $16.98	Professional		$10.00	$13.49	$16.98
United Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $16.22 / $21.38	Facility		$16.22	$16.22	$21.38
United Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $7.59 / $18.62	Professional		$5.62	$7.59	$18.62