Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.50 / $20.89 / $39.81	Facility		$5.50	$20.89	$39.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.63 / $4.27 / $13.80	Professional		$2.63	$4.27	$13.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.92 / $11.22 / $12.30	Facility		$6.92	$11.22	$12.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $4.27 / $7.59	Professional		$2.14	$4.27	$7.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4.27 / $9.33 / $10.96	Professional		$4.27	$9.33	$10.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4.27 / $4.27 / $24.55	Facility		$4.27	$4.27	$24.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4.27 / $4.57 / $5.89	Professional		$4.27	$4.57	$5.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4.27 / $4.27 / $8.13	Facility		$4.27	$4.27	$8.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $3.80 / $5.89 / $12.59	Facility		$3.80	$5.89	$12.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $4.68 / $79.43	Professional		$3.80	$4.68	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6.31 / $12.59 / $17.38	Facility		$6.31	$12.59	$17.38
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3.16 / $3.89 / $5.13	Professional		$3.16	$3.89	$5.13
United Facility/Professional Facility Modifier Low / Median / High Price $5.13 / $5.13 / $6.76	Facility		$5.13	$5.13	$6.76
United Facility/Professional Professional Modifier Low / Median / High Price $2.51 / $2.63 / $5.13	Professional		$2.51	$2.63	$5.13