Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.93 / $32.78 / $184.80	Facility		$17.93	$32.78	$184.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.11 / $13.38 / $33.51	Professional		$11.11	$13.38	$33.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.40 / $36.29 / $44.86	Facility		$22.40	$36.29	$44.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.88 / $16.11 / $24.67	Professional		$8.88	$16.11	$24.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.79 / $33.90 / $36.59	Professional		$13.79	$33.90	$36.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.34 / $15.71 / $41.50	Facility		$11.34	$15.71	$41.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13.79 / $16.55 / $20.90	Professional		$13.79	$16.55	$20.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $13.79 / $17.10 / $30.44	Facility		$13.79	$17.10	$30.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.34 / $16.69 / $39.99	Facility		$11.34	$16.69	$39.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.79 / $16.16 / $20.46	Professional		$13.79	$16.16	$20.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $26.89 / $41.96 / $56.97	Facility		$26.89	$41.96	$56.97
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $12.46 / $15.94 / $33.64	Professional		$12.46	$15.94	$33.64
United Facility/Professional Professional Modifier Low / Median / High Price $5.79 / $7.14 / $16.55	Professional		$5.79	$7.14	$16.55