Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.71 / $42.04 / $167.04	Facility		$9.71	$42.04	$167.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.56 / $5.91 / $9.10	Professional		$5.56	$5.91	$9.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.78 / $17.46 / $23.81	Facility		$10.78	$17.46	$23.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.80 / $7.43 / $11.75	Professional		$4.80	$7.43	$11.75
HealthNet Facility/Professional Professional Modifier Low / Median / High Price $6.25 / $6.25 / $6.25	Professional		$6.25	$6.25	$6.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6.63 / $15.78 / $17.03	Professional		$6.63	$15.78	$17.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $5.78 / $10.19 / $77.43	Facility		$5.78	$10.19	$77.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $6.63 / $7.96 / $11.55	Professional		$6.63	$7.96	$11.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $6.63 / $7.96 / $14.64	Facility		$6.63	$7.96	$14.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $5.78 / $8.02 / $19.23	Facility		$5.78	$8.02	$19.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $6.63 / $8.28 / $10.86	Professional		$6.63	$8.28	$10.86
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12.93 / $20.45 / $27.39	Facility		$12.93	$20.45	$27.39
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $5.79 / $8.44 / $16.41	Professional		$5.79	$8.44	$16.41
United Facility/Professional Professional Modifier Low / Median / High Price $2.78 / $3.79 / $7.99	Professional		$2.78	$3.79	$7.99