Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.78 / $37.78 / $37.78	Facility		$37.78	$37.78	$37.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.55 / $13.62 / $31.04	Professional		$10.55	$13.62	$31.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.55 / $29.55 / $29.55	Facility		$29.55	$29.55	$29.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.97 / $7.97 / $7.97	Professional		$7.97	$7.97	$7.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.19 / $32.11 / $51.87	Professional		$18.19	$32.11	$51.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.81 / $21.13 / $985.80	Facility		$12.81	$21.13	$985.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.65 / $21.31 / $24.56	Professional		$15.65	$21.31	$24.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $17.76 / $17.76 / $27.29	Facility		$17.76	$17.76	$27.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.98 / $20.14 / $37.35	Facility		$12.98	$20.14	$37.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.97 / $17.51 / $21.85	Professional		$7.97	$17.51	$21.85
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $31.84 / $31.84 / $55.72	Facility		$31.84	$31.84	$55.72
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $27.62 / $30.61 / $55.60	Professional		$27.62	$30.61	$55.60
United Facility/Professional Professional Modifier Low / Median / High Price $6.35 / $7.46 / $24.23	Professional		$6.35	$7.46	$24.23