Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $23.99 / $39.81	Facility		$16.98	$23.99	$39.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $21.38	Professional		$16.98	$16.98	$21.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $22.39 / $30.90	Facility		$16.22	$22.39	$30.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $18.62	Professional		$16.98	$16.98	$18.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $35.48 / $41.69	Professional		$16.22	$35.48	$41.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $18.20 / $33.88	Facility		$16.98	$18.20	$33.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $18.20 / $22.39	Professional		$16.98	$18.20	$22.39
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $16.60 / $26.30	Facility		$14.79	$16.60	$26.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $22.39 / $46.77	Facility		$16.98	$22.39	$46.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $18.62 / $79.43	Professional		$16.98	$18.62	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $23.99 / $48.98	Facility		$15.49	$23.99	$48.98
United Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $16.98 / $40.74	Facility		$16.98	$16.98	$40.74
United Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $16.98	Professional		$16.98	$16.98	$16.98