Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.83 / $171.59 / $192.27	Facility		$163.83	$171.59	$192.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.20 / $110.44 / $459.24	Professional		$50.20	$110.44	$459.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,452.82 / $1,452.82 / $1,452.82	Facility		$1,452.82	$1,452.82	$1,452.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.41 / $181.86 / $227.16	Professional		$135.41	$181.86	$227.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $99.37 / $222.04 / $237.04	Professional		$99.37	$222.04	$237.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $110.44 / $185.04 / $261.80	Facility		$110.44	$185.04	$261.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $122.13 / $160.19 / $247.16	Professional		$122.13	$160.19	$247.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $127.05 / $154.77 / $225.72	Facility		$127.05	$154.77	$225.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $165.60 / $197.62 / $265.64	Facility		$165.60	$197.62	$265.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $120.42 / $184.00 / $217.14	Professional		$120.42	$184.00	$217.14
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,330.32 / $1,633.57 / $2,021.70	Facility		$1,330.32	$1,633.57	$2,021.70
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $142.13 / $175.14 / $217.93	Professional		$142.13	$175.14	$217.93
United Facility/Professional Professional Modifier Low / Median / High Price $68.41 / $93.16 / $244.69	Professional		$68.41	$93.16	$244.69