Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $19.05 / $45.71	Facility		$12.59	$19.05	$45.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $8.91 / $15.49	Professional		$6.03	$8.91	$15.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $26.30 / $29.51	Facility		$16.22	$26.30	$29.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $10.00 / $18.20	Professional		$5.13	$10.00	$18.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $21.88 / $25.70	Professional		$10.00	$21.88	$25.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $10.00 / $10.00	Facility		$10.00	$10.00	$10.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $11.48 / $15.49	Professional		$10.00	$11.48	$15.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $10.00 / $19.05	Facility		$10.00	$10.00	$19.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $14.13 / $29.51	Facility		$9.12	$14.13	$29.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $11.22 / $79.43	Professional		$9.12	$11.22	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $30.20 / $41.69	Facility		$15.14	$30.20	$41.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $9.12 / $12.02	Professional		$7.59	$9.12	$12.02
United Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.02 / $16.22	Facility		$12.02	$12.02	$16.22
United Facility/Professional Professional Modifier Low / Median / High Price $4.27 / $4.37 / $12.02	Professional		$4.27	$4.37	$12.02