Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.88 / $20.39 / $39.40	Facility		$16.88	$20.39	$39.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.17 / $13.65 / $32.52	Professional		$7.17	$13.65	$32.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.88 / $35.22 / $40.90	Facility		$22.88	$35.22	$40.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.26 / $14.80 / $25.26	Professional		$4.26	$14.80	$25.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.07 / $33.90 / $36.59	Professional		$14.07	$33.90	$36.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $5.45 / $14.07 / $29.35	Facility		$5.45	$14.07	$29.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $14.07 / $16.88	Professional		$7.59	$14.07	$16.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $12.66 / $14.77 / $31.06	Facility		$12.66	$14.77	$31.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.25 / $16.88 / $30.67	Facility		$10.25	$16.88	$30.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.58 / $15.48 / $19.70	Professional		$7.58	$15.48	$19.70
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $27.44 / $41.53 / $55.24	Facility		$27.44	$41.53	$55.24
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $5.70 / $12.70 / $34.46	Professional		$5.70	$12.70	$34.46
United Facility/Professional Professional Modifier Low / Median / High Price $3.42 / $5.91 / $16.88	Professional		$3.42	$5.91	$16.88