Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $18.20 / $18.20	Facility		$18.20	$18.20	$18.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $15.49 / $21.88	Professional		$12.02	$15.49	$21.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $36.31 / $38.02	Professional		$34.67	$36.31	$38.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $36.31 / $38.02	Professional		$15.14	$36.31	$38.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $30.90 / $39.81	Facility		$18.20	$30.90	$39.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $15.49 / $19.50	Professional		$12.02	$15.49	$19.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $30.90 / $30.90	Facility		$25.12	$30.90	$30.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $26.30 / $33.11	Facility		$18.20	$26.30	$33.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $46.77 / $79.43	Professional		$23.44	$46.77	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $33.11 / $61.66	Facility		$22.91	$33.11	$61.66
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $24.55 / $39.81	Professional		$19.95	$24.55	$39.81