Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.80 / $37.52 / $65.47	Facility		$18.80	$37.52	$65.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.04 / $13.42 / $18.01	Professional		$12.04	$13.42	$18.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.45 / $39.61 / $54.06	Facility		$24.45	$39.61	$54.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.83 / $17.35 / $27.02	Professional		$10.83	$17.35	$27.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.05 / $37.07 / $40.00	Professional		$15.05	$37.07	$40.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.65 / $16.05 / $45.02	Facility		$13.65	$16.05	$45.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.05 / $17.30 / $21.33	Professional		$15.05	$17.30	$21.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $15.05 / $20.45 / $33.22	Facility		$15.05	$20.45	$33.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.65 / $18.05 / $43.65	Facility		$13.65	$18.05	$43.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.05 / $18.80 / $24.65	Professional		$15.05	$18.80	$24.65
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $29.35 / $46.48 / $62.18	Facility		$29.35	$46.48	$62.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $13.61 / $19.20 / $36.92	Professional		$13.61	$19.20	$36.92
United Facility/Professional Professional Modifier Low / Median / High Price $9.02 / $9.60 / $18.05	Professional		$9.02	$9.60	$18.05