Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.84 / $142.16 / $287.45	Facility		$123.84	$142.16	$287.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.40 / $78.93 / $146.02	Professional		$39.40	$78.93	$146.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.13 / $1,018.62 / $1,233.81	Facility		$44.13	$1,018.62	$1,233.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.78 / $121.94 / $185.43	Professional		$80.78	$121.94	$185.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $110.56 / $132.27 / $148.91	Professional		$110.56	$132.27	$148.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $51.10 / $109.95 / $270.98	Facility		$51.10	$109.95	$270.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $93.84 / $121.59 / $215.83	Professional		$93.84	$121.59	$215.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $94.60 / $115.24 / $273.48	Facility		$94.60	$115.24	$273.48
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $105.43 / $105.43 / $191.40	Professional		$105.43	$105.43	$191.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $66.26 / $146.51 / $270.98	Facility		$66.26	$146.51	$270.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $99.19 / $134.13 / $173.08	Professional		$99.19	$134.13	$173.08
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,076.15 / $1,345.62 / $1,577.58	Facility		$1,076.15	$1,345.62	$1,577.58
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $104.14 / $128.83 / $164.95	Professional		$104.14	$128.83	$164.95
United Facility/Professional Professional Modifier Low / Median / High Price $62.07 / $76.48 / $185.11	Professional		$62.07	$76.48	$185.11