Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.58 / $26.19 / $68.63	Facility		$22.58	$26.19	$68.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.05 / $17.52 / $97.99	Professional		$16.05	$17.52	$97.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.35 / $47.55 / $64.83	Facility		$29.35	$47.55	$64.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.96 / $20.65 / $32.31	Professional		$12.96	$20.65	$32.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.05 / $44.17 / $47.66	Professional		$18.05	$44.17	$47.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.33 / $19.27 / $47.18	Facility		$15.33	$19.27	$47.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.05 / $20.77 / $26.01	Professional		$18.05	$20.77	$26.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $18.05 / $18.96 / $39.86	Facility		$18.05	$18.96	$39.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.37 / $21.85 / $52.37	Facility		$16.37	$21.85	$52.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.05 / $21.67 / $29.56	Professional		$18.05	$21.67	$29.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $35.22 / $55.73 / $74.61	Facility		$35.22	$55.73	$74.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $23.01 / $44.31	Professional		$16.22	$23.01	$44.31
United Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $10.32 / $21.67	Professional		$7.59	$10.32	$21.67