Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $42.66 / $51.29	Facility		$20.89	$42.66	$51.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $21.88 / $95.50	Professional		$20.89	$21.88	$95.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Facility		$56.23	$56.23	$56.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $28.18	Professional		$28.18	$28.18	$28.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $45.71 / $54.95	Professional		$21.38	$45.71	$54.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $25.70 / $42.66	Facility		$21.38	$25.70	$42.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $25.12 / $40.74	Professional		$21.38	$25.12	$40.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $31.62 / $44.67	Facility		$21.38	$31.62	$44.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $30.20 / $63.10	Facility		$21.38	$30.20	$63.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $28.18 / $79.43	Professional		$22.91	$28.18	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $33.88 / $69.18	Facility		$22.39	$33.88	$69.18
United Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $21.38 / $51.29	Facility		$21.38	$21.38	$51.29
United Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $21.38	Professional		$21.38	$21.38	$21.38