Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.17 / $65.80 / $139.12	Facility		$22.17	$65.80	$139.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.34 / $13.76 / $21.92	Professional		$13.34	$13.76	$21.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.85 / $40.26 / $54.95	Facility		$24.85	$40.26	$54.95
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 $15.29 / $37.07 / $40.00	Professional		$15.29	$37.07	$40.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.87 / $21.21 / $64.70	Facility		$13.87	$21.21	$64.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.29 / $17.57 / $25.20	Professional		$15.29	$17.57	$25.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $15.29 / $20.64 / $33.75	Facility		$15.29	$20.64	$33.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.87 / $19.23 / $44.34	Facility		$13.87	$19.23	$44.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.29 / $19.11 / $25.04	Professional		$15.29	$19.11	$25.04
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $29.82 / $47.20 / $63.17	Facility		$29.82	$47.20	$63.17
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $13.61 / $19.50 / $37.74	Professional		$13.61	$19.50	$37.74
United Facility/Professional Professional Modifier Low / Median / High Price $6.42 / $8.74 / $18.35	Professional		$6.42	$8.74	$18.35