Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $145.56 / $153.27 / $172.02	Facility		$145.56	$153.27	$172.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.70 / $98.53 / $346.89	Professional		$44.70	$98.53	$346.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,643.90 / $3,643.90 / $3,643.90	Facility		$3,643.90	$3,643.90	$3,643.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.66 / $166.24 / $203.56	Professional		$129.66	$166.24	$203.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $73.34 / $163.69 / $174.95	Professional		$73.34	$163.69	$174.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $98.53 / $150.47 / $241.40	Facility		$98.53	$150.47	$241.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $111.44 / $127.50 / $209.43	Professional		$111.44	$127.50	$209.43
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $113.85 / $138.02 / $195.64	Facility		$113.85	$138.02	$195.64
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $602.39 / $857.90 / $949.95	Professional		$602.39	$857.90	$949.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $144.90 / $176.33 / $253.15	Facility		$144.90	$176.33	$253.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $107.46 / $166.22 / $197.73	Professional		$107.46	$166.22	$197.73
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,585.79 / $4,163.72 / $5,377.72	Facility		$3,585.79	$4,163.72	$5,377.72
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $129.78 / $169.84 / $195.19	Professional		$129.78	$169.84	$195.19
United Facility/Professional Professional Modifier Low / Median / High Price $61.05 / $91.02 / $219.17	Professional		$61.05	$91.02	$219.17