Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $54.95 / $120.23	Facility		$18.20	$54.95	$120.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $11.48 / $83.18	Professional		$8.91	$11.48	$83.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $33.11 / $44.67	Facility		$20.42	$33.11	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $12.59 / $22.39	Professional		$8.32	$12.59	$22.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $27.54 / $32.36	Professional		$12.59	$27.54	$32.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $12.59 / $97.72	Facility		$12.59	$12.59	$97.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $15.85 / $25.12	Professional		$12.59	$15.85	$25.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $12.59 / $25.70	Facility		$12.59	$12.59	$25.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $18.20 / $41.69	Facility		$12.30	$18.20	$41.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $15.85 / $79.43	Professional		$12.59	$15.85	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $38.02 / $52.48	Facility		$19.05	$38.02	$52.48
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $12.59 / $16.22	Professional		$9.33	$12.59	$16.22
United Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $15.14 / $19.95	Facility		$15.14	$15.14	$19.95
United Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $7.24 / $17.38	Professional		$5.25	$7.24	$17.38