Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.39 / $19.73 / $33.04	Facility		$16.39	$19.73	$33.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.39 / $16.68 / $19.87	Professional		$16.39	$16.68	$19.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.58 / $22.26 / $31.24	Facility		$15.58	$22.26	$31.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.52 / $16.52 / $17.92	Professional		$16.52	$16.52	$17.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.27 / $36.22 / $41.97	Professional		$16.27	$36.22	$41.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.52 / $23.62 / $35.52	Facility		$16.52	$23.62	$35.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.52 / $17.51 / $21.48	Professional		$16.52	$17.51	$21.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $14.96 / $16.52 / $34.03	Facility		$14.96	$16.52	$34.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.52 / $22.26 / $35.52	Facility		$16.52	$22.26	$35.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.52 / $18.59 / $19.66	Professional		$16.52	$18.59	$19.66
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $15.45 / $23.94 / $55.04	Facility		$15.45	$23.94	$55.04
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $16.52 / $16.52 / $16.52	Professional		$16.52	$16.52	$16.52
United Facility/Professional Professional Modifier Low / Median / High Price $16.52 / $16.52 / $16.52	Professional		$16.52	$16.52	$16.52