Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.95 / $4.95 / $21.53	Facility		$4.95	$4.95	$21.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.80 / $4.80 / $17.18	Professional		$4.80	$4.80	$17.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.05 / $13.04 / $18.05	Facility		$8.05	$13.04	$18.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.60 / $3.87 / $6.56	Professional		$2.60	$3.87	$6.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4.95 / $11.82 / $12.76	Professional		$4.95	$11.82	$12.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4.91 / $5.28 / $10.32	Facility		$4.91	$5.28	$10.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4.95 / $5.94 / $8.11	Professional		$4.95	$5.94	$8.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4.95 / $5.20 / $7.43	Facility		$4.95	$5.20	$7.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.95 / $5.94 / $13.04	Facility		$4.95	$5.94	$13.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $4.95 / $5.83 / $7.64	Professional		$4.95	$5.83	$7.64
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9.65 / $15.28 / $20.45	Facility		$9.65	$15.28	$20.45
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4.34 / $6.41 / $12.31	Professional		$4.34	$6.41	$12.31
United Facility/Professional Professional Modifier Low / Median / High Price $2.08 / $2.49 / $5.94	Professional		$2.08	$2.49	$5.94