Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $151.36 / $218.78	Facility		$112.20	$151.36	$218.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $91.20 / $323.59	Professional		$58.88	$91.20	$323.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Facility		$77.62	$77.62	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $128.82 / $208.93	Professional		$74.13	$128.82	$208.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $147.91 / $213.80	Professional		$104.71	$147.91	$213.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $112.20 / $177.83	Facility		$64.57	$112.20	$177.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $131.83 / $204.17	Professional		$89.13	$131.83	$204.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $154.88 / $165.96	Facility		$114.82	$154.88	$165.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $112.20 / $173.78	Facility		$66.07	$112.20	$173.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $134.90 / $204.17	Professional		$79.43	$134.90	$204.17
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $851.14 / $1,023.29	Facility		$645.65	$851.14	$1,023.29
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $151.36 / $204.17	Professional		$107.15	$151.36	$204.17
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $1,380.38 / $6,165.95	Facility		$389.05	$1,380.38	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $128.82 / $199.53	Professional		$87.10	$128.82	$199.53