Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.32 / $42.39 / $146.88	Facility		$16.32	$42.39	$146.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.06 / $12.12 / $19.04	Professional		$10.06	$12.12	$19.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.10 / $35.79 / $48.80	Facility		$22.10	$35.79	$48.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $15.69 / $24.67	Professional		$9.77	$15.69	$24.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.60 / $33.14 / $35.72	Professional		$13.60	$33.14	$35.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.85 / $16.21 / $45.65	Facility		$11.85	$16.21	$45.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13.60 / $15.11 / $19.57	Professional		$13.60	$15.11	$19.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $11.50 / $14.28 / $30.02	Facility		$11.50	$14.28	$30.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.85 / $16.46 / $39.44	Facility		$11.85	$16.46	$39.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.60 / $17.00 / $22.25	Professional		$13.60	$17.00	$22.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $26.52 / $41.98 / $56.19	Facility		$26.52	$41.98	$56.19
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $12.17 / $17.32 / $33.64	Professional		$12.17	$17.32	$33.64
United Facility/Professional Professional Modifier Low / Median / High Price $5.71 / $7.77 / $16.32	Professional		$5.71	$7.77	$16.32