Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $62.48 / $105.79	Facility		$19.95	$62.48	$105.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.57 / $11.65 / $16.39	Professional		$9.57	$11.65	$16.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.05 / $34.10 / $46.48	Facility		$21.05	$34.10	$46.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.24 / $14.87 / $23.50	Professional		$9.24	$14.87	$23.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.95 / $31.56 / $34.04	Professional		$12.95	$31.56	$34.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.74 / $17.96 / $43.16	Facility		$10.74	$17.96	$43.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.95 / $14.89 / $21.24	Professional		$12.95	$14.89	$21.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $12.95 / $17.48 / $85.09	Facility		$12.95	$17.48	$85.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.74 / $15.67 / $37.56	Facility		$11.74	$15.67	$37.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.95 / $15.54 / $21.19	Professional		$12.95	$15.54	$21.19
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $25.25 / $39.95 / $53.50	Facility		$25.25	$39.95	$53.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $11.59 / $16.51 / $32.00	Professional		$11.59	$16.51	$32.00
United Facility/Professional Professional Modifier Low / Median / High Price $5.44 / $7.40 / $15.54	Professional		$5.44	$7.40	$15.54