Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $36.31 / $85.11	Facility		$19.50	$36.31	$85.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $14.13 / $30.20	Professional		$10.96	$14.13	$30.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $40.74 / $56.23	Facility		$25.12	$40.74	$56.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $15.49 / $28.18	Professional		$10.23	$15.49	$28.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $33.88 / $39.81	Professional		$15.49	$33.88	$39.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $15.49 / $32.36	Facility		$15.49	$15.49	$32.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $17.78 / $22.39	Professional		$15.49	$17.78	$22.39
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $15.49 / $89.13	Facility		$15.49	$15.49	$89.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $21.88 / $52.48	Facility		$14.13	$21.88	$52.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $17.78 / $79.43	Professional		$15.49	$17.78	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $46.77 / $64.57	Facility		$23.44	$46.77	$64.57
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $14.13 / $18.62	Professional		$11.75	$14.13	$18.62
United Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $18.62 / $25.12	Facility		$18.62	$18.62	$25.12
United Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $8.91 / $21.88	Professional		$6.61	$8.91	$21.88