Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.13 / $61.66 / $93.33	Facility		$5.13	$61.66	$93.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.69 / $19.05	Professional		$2.00	$2.69	$19.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $7.94 / $10.72	Facility		$4.79	$7.94	$10.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $2.95 / $5.25	Professional		$1.95	$2.95	$5.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $6.46 / $7.59	Professional		$3.02	$6.46	$7.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $10.00 / $87.10	Facility		$3.02	$10.00	$87.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $3.47 / $11.48	Professional		$2.75	$3.47	$11.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $3.02 / $10.00	Facility		$3.02	$3.02	$10.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $2.88 / $4.27 / $10.00	Facility		$2.88	$4.27	$10.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.95 / $3.72 / $79.43	Professional		$2.95	$3.72	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $125.89 / $151.36	Facility		$93.33	$125.89	$151.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2.24 / $3.02 / $3.80	Professional		$2.24	$3.02	$3.80
United Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $141.25 / $186.21	Facility		$112.20	$141.25	$186.21
United Facility/Professional Professional Modifier Low / Median / High Price $1.26 / $1.70 / $4.17	Professional		$1.26	$1.70	$4.17