Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.38 / $38.19 / $217.80	Facility		$18.38	$38.19	$217.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.37 / $17.48 / $27.82	Professional		$13.37	$17.48	$27.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.90 / $40.34 / $55.02	Facility		$24.90	$40.34	$55.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.01 / $17.35 / $27.61	Professional		$11.01	$17.35	$27.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.32 / $37.07 / $40.00	Professional		$15.32	$37.07	$40.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.90 / $19.27 / $51.46	Facility		$13.90	$19.27	$51.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.32 / $18.38 / $28.35	Professional		$15.32	$18.38	$28.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $15.32 / $20.68 / $33.82	Facility		$15.32	$20.68	$33.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.90 / $19.27 / $44.43	Facility		$13.90	$19.27	$44.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.32 / $18.38 / $25.09	Professional		$15.32	$18.38	$25.09
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $29.87 / $47.30 / $63.29	Facility		$29.87	$47.30	$63.29
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $13.61 / $19.53 / $37.74	Professional		$13.61	$19.53	$37.74
United Facility/Professional Professional Modifier Low / Median / High Price $6.43 / $8.76 / $18.38	Professional		$6.43	$8.76	$18.38