Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $50.12 / $97.72	Facility		$19.05	$50.12	$97.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $11.75 / $30.20	Professional		$8.91	$11.75	$30.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $34.67 / $46.77	Facility		$21.38	$34.67	$46.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $13.18 / $23.44	Professional		$8.71	$13.18	$23.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $28.18 / $33.11	Professional		$13.18	$28.18	$33.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $13.18 / $75.86	Facility		$13.18	$13.18	$75.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $16.22 / $21.88	Professional		$13.18	$16.22	$21.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $13.18 / $24.55	Facility		$13.18	$13.18	$24.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $18.62 / $43.65	Facility		$12.59	$18.62	$43.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $16.22 / $79.43	Professional		$13.18	$16.22	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $38.90 / $53.70	Facility		$19.50	$38.90	$53.70
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $13.18 / $16.60	Professional		$9.77	$13.18	$16.60
United Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $15.49 / $20.89	Facility		$15.49	$15.49	$20.89
United Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $7.41 / $18.20	Professional		$5.50	$7.41	$18.20