Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $177.83 / $218.78	Facility		$120.23	$177.83	$218.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $85.11 / $204.17	Professional		$64.57	$85.11	$204.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $645.65 / $831.76	Facility		$64.57	$645.65	$831.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $158.49 / $234.42	Professional		$85.11	$158.49	$234.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $177.83 / $218.78	Professional		$154.88	$177.83	$218.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $134.90 / $194.98	Facility		$75.86	$134.90	$194.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $162.18 / $239.88	Professional		$123.03	$162.18	$239.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $154.88 / $169.82	Facility		$123.03	$154.88	$169.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $138.04 / $218.78	Facility		$81.28	$138.04	$218.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $165.96 / $239.88	Professional		$125.89	$165.96	$239.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $776.25 / $954.99	Facility		$660.69	$776.25	$954.99
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $169.82 / $223.87	Professional		$138.04	$169.82	$223.87
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $891.25 / $1,174.90	Facility		$724.44	$891.25	$1,174.90
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $100.00 / $218.78	Professional		$81.28	$100.00	$218.78