Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $23.99 / $57.54	Facility		$15.85	$23.99	$57.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $11.48 / $19.05	Professional		$7.94	$11.48	$19.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $33.88 / $45.71	Facility		$20.89	$33.88	$45.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $12.88 / $22.91	Professional		$8.51	$12.88	$22.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $27.54 / $32.36	Professional		$12.88	$27.54	$32.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $12.88 / $19.50	Facility		$12.88	$12.88	$19.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $15.85 / $22.91	Professional		$12.88	$15.85	$22.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $12.88 / $23.99	Facility		$12.88	$12.88	$23.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $18.62 / $43.65	Facility		$12.30	$18.62	$43.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $15.85 / $79.43	Professional		$12.88	$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 $9.55 / $12.88 / $16.22	Professional		$9.55	$12.88	$16.22
United Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $15.49 / $20.42	Facility		$15.49	$15.49	$20.42
United Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $7.24 / $17.78	Professional		$5.37	$7.24	$17.78