Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $42.66 / $112.20	Facility		$17.38	$42.66	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $10.96 / $21.38	Professional		$7.76	$10.96	$21.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $31.62 / $43.65	Facility		$19.50	$31.62	$43.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $21.38 / $50.12	Professional		$9.33	$21.38	$50.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $64.57 / $72.44	Professional		$12.02	$64.57	$72.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.02 / $74.13	Facility		$12.02	$12.02	$74.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $16.60 / $25.12	Professional		$12.02	$16.60	$25.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $13.18 / $26.30	Facility		$12.02	$13.18	$26.30
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $12.02	Professional		$12.02	$12.02	$12.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $19.50 / $43.65	Facility		$14.45	$19.50	$43.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $16.98 / $50.12	Professional		$12.02	$16.98	$50.12
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $36.31 / $50.12	Facility		$18.20	$36.31	$50.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $12.02 / $15.49	Professional		$9.12	$12.02	$15.49
United Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $14.45 / $19.50	Facility		$14.45	$14.45	$19.50
United Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.01 / $16.98	Professional		$5.01	$5.01	$16.98