Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $501.19 / $501.19	Facility		$107.15	$501.19	$501.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $85.11 / $134.90	Professional		$72.44	$85.11	$134.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $323.59	Facility		$181.97	$181.97	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $128.82 / $162.18	Professional		$112.20	$128.82	$162.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $239.88 / $288.40	Professional		$112.20	$239.88	$288.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $123.03 / $151.36	Professional		$112.20	$123.03	$151.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $169.82	Facility		$112.20	$112.20	$169.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $134.90 / $295.12	Facility		$58.88	$134.90	$295.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $117.49 / $154.88	Professional		$79.43	$117.49	$154.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $331.13 / $436.52	Facility		$169.82	$331.13	$436.52
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $102.33 / $134.90	Professional		$83.18	$102.33	$134.90
United Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $177.83	Facility		$134.90	$134.90	$177.83
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $134.90	Professional		$46.77	$46.77	$134.90