Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.36 / $138.84 / $155.50	Facility		$124.36	$138.84	$155.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.28 / $65.09 / $168.47	Professional		$40.28	$65.09	$168.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.02 / $1,336.20 / $1,894.26	Facility		$49.02	$1,336.20	$1,894.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.51 / $108.26 / $170.88	Professional		$51.51	$108.26	$170.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $121.42 / $144.25 / $167.17	Professional		$121.42	$144.25	$167.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $50.37 / $99.64 / $158.27	Facility		$50.37	$99.64	$158.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $83.16 / $104.16 / $188.07	Professional		$83.16	$104.16	$188.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $70.56 / $104.88 / $124.62	Facility		$70.56	$104.88	$124.62
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $43.34 / $43.34 / $43.34	Professional		$43.34	$43.34	$43.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $58.62 / $126.65 / $185.44	Facility		$58.62	$126.65	$185.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $84.96 / $127.08 / $174.80	Professional		$84.96	$127.08	$174.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $755.01 / $1,567.95 / $2,063.46	Facility		$755.01	$1,567.95	$2,063.46
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $101.12 / $127.37 / $168.31	Professional		$101.12	$127.37	$168.31
United Facility/Professional Professional Modifier Low / Median / High Price $51.74 / $62.26 / $164.08	Professional		$51.74	$62.26	$164.08