Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.20 / $20.25 / $32.40	Facility		$16.20	$20.25	$32.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.20 / $16.36 / $42.73	Professional		$16.20	$16.36	$42.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.28 / $23.27 / $32.15	Facility		$15.28	$23.27	$32.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.20 / $16.20 / $17.57	Professional		$16.20	$16.20	$17.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.95 / $35.52 / $43.41	Professional		$15.95	$35.52	$43.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.97 / $23.17 / $34.83	Facility		$13.97	$23.17	$34.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.20 / $17.17 / $20.25	Professional		$16.20	$17.17	$20.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $16.20 / $21.06 / $33.70	Facility		$16.20	$21.06	$33.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.28 / $23.27 / $34.83	Facility		$15.28	$23.27	$34.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.20 / $19.10 / $20.55	Professional		$16.20	$19.10	$20.55
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $16.20 / $16.20 / $16.20	Professional		$16.20	$16.20	$16.20
United Facility/Professional Professional Modifier Low / Median / High Price $16.20 / $16.20 / $16.20	Professional		$16.20	$16.20	$16.20