Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $20.89 / $61.66	Facility		$16.98	$20.89	$61.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $12.02 / $20.89	Professional		$8.91	$12.02	$20.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $35.48 / $42.66	Facility		$21.88	$35.48	$42.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $13.49 / $24.55	Professional		$7.94	$13.49	$24.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $29.51 / $34.67	Professional		$13.49	$29.51	$34.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $13.49 / $19.05	Facility		$13.49	$13.49	$19.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $15.49 / $19.95	Professional		$13.49	$15.49	$19.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $13.49 / $25.70	Facility		$13.49	$13.49	$25.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $19.05 / $39.81	Facility		$13.18	$19.05	$39.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $16.22 / $79.43	Professional		$12.30	$16.22	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $40.74 / $56.23	Facility		$20.42	$40.74	$56.23
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $12.30 / $16.22	Professional		$10.23	$12.30	$16.22
United Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $16.22 / $21.88	Facility		$16.22	$16.22	$21.88
United Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $6.92 / $16.60	Professional		$5.75	$6.92	$16.60