Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $15.85 / $45.71	Facility		$12.59	$15.85	$45.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $8.91 / $15.85	Professional		$6.03	$8.91	$15.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $26.92 / $36.31	Facility		$16.60	$26.92	$36.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $10.23 / $18.20	Professional		$6.76	$10.23	$18.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $21.88 / $25.70	Professional		$10.23	$21.88	$25.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $10.23 / $14.13	Facility		$10.23	$10.23	$14.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $13.80 / $20.42	Professional		$10.23	$13.80	$20.42
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $10.23 / $32.36	Facility		$10.23	$10.23	$32.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $14.79 / $36.31	Facility		$9.77	$14.79	$36.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $12.59 / $79.43	Professional		$10.23	$12.59	$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 / $10.23 / $12.88	Professional		$7.59	$10.23	$12.88
United Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $12.30 / $16.22	Facility		$12.30	$12.30	$16.22
United Facility/Professional Professional Modifier Low / Median / High Price $4.27 / $5.75 / $14.13	Professional		$4.27	$5.75	$14.13