Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.20 / $18.37 / $35.47	Facility		$15.20	$18.37	$35.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.29 / $12.29 / $68.75	Professional		$12.29	$12.29	$68.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.60 / $33.36 / $45.51	Facility		$20.60	$33.36	$45.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.06 / $14.46 / $22.91	Professional		$9.06	$14.46	$22.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.67 / $30.77 / $33.18	Professional		$12.67	$30.77	$33.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.29 / $15.93 / $41.50	Facility		$12.29	$15.93	$41.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.67 / $15.20 / $25.49	Professional		$12.67	$15.20	$25.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $12.67 / $17.10 / $27.97	Facility		$12.67	$17.10	$27.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.67 / $15.93 / $36.74	Facility		$12.67	$15.93	$36.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.67 / $15.84 / $20.75	Professional		$12.67	$15.84	$20.75
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $24.71 / $39.10 / $52.34	Facility		$24.71	$39.10	$52.34
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $11.30 / $16.16 / $31.18	Professional		$11.30	$16.16	$31.18
United Facility/Professional Professional Modifier Low / Median / High Price $5.32 / $7.24 / $15.20	Professional		$5.32	$7.24	$15.20