Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $41.69 / $100.00	Facility		$28.18	$41.69	$100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $20.89 / $34.67	Professional		$14.13	$20.89	$34.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $58.88 / $69.18	Facility		$36.31	$58.88	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $22.39 / $39.81	Professional		$12.88	$22.39	$39.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $47.86 / $57.54	Professional		$22.39	$47.86	$57.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $22.39 / $36.31	Facility		$22.39	$22.39	$36.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $26.30 / $38.90	Professional		$22.39	$26.30	$38.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $22.39 / $45.71	Facility		$22.39	$22.39	$45.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $30.90 / $66.07	Facility		$19.95	$30.90	$66.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $26.30 / $79.43	Professional		$19.95	$26.30	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $67.61 / $93.33	Facility		$33.88	$67.61	$93.33
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $20.42 / $26.92	Professional		$16.98	$20.42	$26.92
United Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $26.92 / $35.48	Facility		$26.92	$26.92	$35.48
United Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $10.96 / $26.92	Professional		$9.33	$10.96	$26.92