Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.07 / $23.06 / $44.52	Facility		$19.07	$23.06	$44.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.42 / $15.42 / $80.90	Professional		$15.42	$15.42	$80.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.85 / $41.88 / $53.52	Facility		$25.85	$41.88	$53.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.66 / $18.17 / $28.79	Professional		$10.66	$18.17	$28.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.90 / $38.65 / $41.70	Professional		$15.90	$38.65	$41.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.58 / $18.75 / $49.80	Facility		$14.58	$18.75	$49.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.90 / $19.07 / $25.18	Professional		$15.90	$19.07	$25.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $15.90 / $20.25 / $35.10	Facility		$15.90	$20.25	$35.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.90 / $19.23 / $46.11	Facility		$15.90	$19.23	$46.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.90 / $19.07 / $24.41	Professional		$15.90	$19.07	$24.41
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $31.01 / $48.38 / $65.69	Facility		$31.01	$48.38	$65.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $14.19 / $19.00 / $39.38	Professional		$14.19	$19.00	$39.38
United Facility/Professional Professional Modifier Low / Median / High Price $6.68 / $8.52 / $19.07	Professional		$6.68	$8.52	$19.07