Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $10.96 / $288.40	Facility		$4.79	$10.96	$288.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $3.98 / $70.79	Professional		$2.00	$3.98	$70.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.17 / $10.00 / $13.80	Facility		$6.17	$10.00	$13.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.45 / $3.80 / $7.08	Professional		$2.45	$3.80	$7.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $7.94 / $9.33	Professional		$3.80	$7.94	$9.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3.80 / $3.80 / $13.18	Facility		$3.80	$3.80	$13.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $4.57 / $8.32	Professional		$3.80	$4.57	$8.32
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3.80 / $3.80 / $8.13	Facility		$3.80	$3.80	$8.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $3.72 / $5.50 / $13.18	Facility		$3.72	$5.50	$13.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $4.79 / $79.43	Professional		$3.80	$4.79	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,122.02 / $1,348.96	Facility		$676.08	$1,122.02	$1,348.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2.88 / $3.80 / $4.90	Professional		$2.88	$3.80	$4.90
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,348.96 / $1,778.28	Facility		$1,096.48	$1,348.96	$1,778.28
United Facility/Professional Professional Modifier Low / Median / High Price $1.62 / $2.19 / $5.37	Professional		$1.62	$2.19	$5.37