Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.26 / $16.26 / $16.26	Facility		$16.26	$16.26	$16.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.84 / $14.47 / $40.03	Professional		$11.84	$14.47	$40.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $47.60 / $107.03	Professional		$16.00	$47.60	$107.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.25 / $42.29 / $47.90	Professional		$36.25	$42.29	$47.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.69 / $16.61 / $29.92	Facility		$13.69	$16.61	$29.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.89 / $23.40 / $28.00	Professional		$18.89	$23.40	$28.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $35.19 / $38.19	Facility		$22.91	$35.19	$38.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.69 / $16.61 / $30.76	Facility		$13.69	$16.61	$30.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.27 / $45.60 / $105.73	Professional		$18.27	$45.60	$105.73
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $29.78 / $45.61 / $72.12	Facility		$29.78	$45.61	$72.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $20.09 / $21.15 / $48.72	Professional		$20.09	$21.15	$48.72
United Facility/Professional Professional Modifier Low / Median / High Price $7.73 / $7.73 / $7.73	Professional		$7.73	$7.73	$7.73