Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.01 / $35.71 / $98.20	Facility		$20.01	$35.71	$98.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.42 / $13.96 / $19.48	Professional		$13.42	$13.96	$19.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.00 / $40.50 / $55.23	Facility		$25.00	$40.50	$55.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.01 / $17.76 / $27.61	Professional		$11.01	$17.76	$27.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.39 / $37.86 / $40.86	Professional		$15.39	$37.86	$40.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.95 / $19.35 / $51.46	Facility		$13.95	$19.35	$51.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.39 / $17.70 / $26.25	Professional		$15.39	$17.70	$26.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $15.39 / $18.47 / $33.97	Facility		$15.39	$18.47	$33.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.95 / $19.35 / $44.63	Facility		$13.95	$19.35	$44.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.39 / $19.23 / $25.19	Professional		$15.39	$19.23	$25.19
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $30.01 / $47.50 / $63.58	Facility		$30.01	$47.50	$63.58
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $13.91 / $19.61 / $37.74	Professional		$13.91	$19.61	$37.74
United Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $8.78 / $18.47	Professional		$6.46	$8.78	$18.47