Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.14 / $103.84 / $266.00	Facility		$23.14	$103.84	$266.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.31 / $12.47 / $72.54	Professional		$9.31	$12.47	$72.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.80 / $30.46 / $38.35	Facility		$18.80	$30.46	$38.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.64 / $13.22 / $20.56	Professional		$7.64	$13.22	$20.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $11.57 / $28.39 / $30.63	Professional		$11.57	$28.39	$30.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $9.68 / $20.14 / $139.18	Facility		$9.68	$20.14	$139.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $11.57 / $13.31 / $18.89	Professional		$11.57	$13.31	$18.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $11.57 / $13.88 / $25.54	Facility		$11.57	$13.88	$25.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.68 / $14.00 / $33.54	Facility		$9.68	$14.00	$33.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.57 / $13.80 / $17.48	Professional		$11.57	$13.80	$17.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $22.56 / $35.21 / $47.80	Facility		$22.56	$35.21	$47.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $10.43 / $13.62 / $28.72	Professional		$10.43	$13.62	$28.72
United Facility/Professional Professional Modifier Low / Median / High Price $4.86 / $6.10 / $13.88	Professional		$4.86	$6.10	$13.88