Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $21.38 / $21.38	Facility		$21.38	$21.38	$21.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $28.18 / $38.90	Professional		$19.05	$28.18	$38.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Professional		$19.05	$19.05	$19.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $48.98 / $61.66	Professional		$40.74	$48.98	$61.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $33.11 / $66.07	Facility		$20.42	$33.11	$66.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $30.90 / $38.90	Professional		$19.05	$30.90	$38.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $45.71 / $45.71	Facility		$38.02	$45.71	$45.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $33.11 / $53.70	Facility		$20.89	$33.11	$53.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.50 / $79.43	Professional		$19.50	$19.50	$79.43
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $46.77 / $61.66	Professional		$36.31	$46.77	$61.66
United Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $44.67 / $67.61	Professional		$25.70	$44.67	$67.61