Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.36 / $13.18 / $68.64	Facility		$11.36	$13.18	$68.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.31 / $9.69 / $13.18	Professional		$7.31	$9.69	$13.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.78 / $23.94 / $30.12	Facility		$14.78	$23.94	$30.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.04 / $10.33 / $16.45	Professional		$6.04	$10.33	$16.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $9.09 / $22.09 / $23.83	Professional		$9.09	$22.09	$23.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $8.19 / $10.55 / $28.22	Facility		$8.19	$10.55	$28.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $9.09 / $10.50 / $13.09	Professional		$9.09	$10.50	$13.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $9.09 / $10.25 / $20.07	Facility		$9.09	$10.25	$20.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.09 / $11.00 / $26.36	Facility		$9.09	$11.00	$26.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.09 / $10.85 / $13.74	Professional		$9.09	$10.85	$13.74
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $17.73 / $27.66 / $37.54	Facility		$17.73	$27.66	$37.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $8.11 / $10.69 / $22.15	Professional		$8.11	$10.69	$22.15
United Facility/Professional Professional Modifier Low / Median / High Price $3.82 / $4.80 / $10.91	Professional		$3.82	$4.80	$10.91