Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.36 / $22.19 / $42.84	Facility		$18.36	$22.19	$42.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.36 / $14.84 / $83.05	Professional		$10.36	$14.84	$83.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.88 / $40.29 / $54.95	Facility		$24.88	$40.29	$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 $15.30 / $37.07 / $40.00	Professional		$15.30	$37.07	$40.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.34 / $19.25 / $50.63	Facility		$13.34	$19.25	$50.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.30 / $17.60 / $25.09	Professional		$15.30	$17.60	$25.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $15.30 / $19.80 / $33.77	Facility		$15.30	$19.80	$33.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.34 / $19.25 / $44.37	Facility		$13.34	$19.25	$44.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.30 / $18.36 / $25.06	Professional		$15.30	$18.36	$25.06
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $29.84 / $47.23 / $63.21	Facility		$29.84	$47.23	$63.21
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 $6.43 / $8.74 / $18.36	Professional		$6.43	$8.74	$18.36