Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.43 / $37.90 / $71.08	Facility		$20.43	$37.90	$71.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.52 / $15.85 / $88.66	Professional		$14.52	$15.85	$88.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.55 / $43.01 / $58.71	Facility		$26.55	$43.01	$58.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.72 / $19.00 / $29.37	Professional		$11.72	$19.00	$29.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.34 / $40.24 / $43.41	Professional		$16.34	$40.24	$43.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.83 / $20.13 / $53.95	Facility		$14.83	$20.13	$53.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.34 / $18.79 / $32.21	Professional		$16.34	$18.79	$32.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $16.34 / $22.06 / $42.03	Facility		$16.34	$22.06	$42.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.83 / $20.13 / $47.39	Facility		$14.83	$20.13	$47.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.34 / $20.43 / $26.22	Professional		$16.34	$20.43	$26.22
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $31.86 / $50.43 / $67.51	Facility		$31.86	$50.43	$67.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $14.78 / $20.42 / $40.20	Professional		$14.78	$20.42	$40.20
United Facility/Professional Professional Modifier Low / Median / High Price $6.86 / $9.34 / $19.61	Professional		$6.86	$9.34	$19.61