Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $131.83 / $338.84	Facility		$83.18	$131.83	$338.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $64.57 / $151.36	Professional		$39.81	$64.57	$151.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Facility		$64.57	$64.57	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $85.11 / $151.36	Professional		$50.12	$85.11	$151.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $95.50 / $147.91	Professional		$67.61	$95.50	$147.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $85.11 / $147.91	Facility		$47.86	$85.11	$147.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $95.50 / $141.25	Professional		$63.10	$95.50	$141.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $112.20 / $123.03	Facility		$79.43	$112.20	$123.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $77.62 / $128.82	Facility		$45.71	$77.62	$128.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $89.13 / $138.04	Professional		$66.07	$89.13	$138.04
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,258.93 / $1,584.89	Facility		$870.96	$1,258.93	$1,584.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $107.15 / $154.88	Professional		$79.43	$107.15	$154.88
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $2,187.76 / $6,165.95	Facility		$389.05	$2,187.76	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $93.33 / $151.36	Professional		$58.88	$93.33	$151.36