Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $107.15 / $1,513.56	Facility		$69.18	$107.15	$1,513.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $45.71 / $100.00	Professional		$30.90	$45.71	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Facility		$1,096.48	$1,096.48	$1,096.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $102.33 / $128.82	Professional		$69.18	$102.33	$128.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $89.13 / $102.33	Professional		$44.67	$89.13	$102.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $81.28 / $281.84	Facility		$45.71	$81.28	$281.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $95.50 / $125.89	Professional		$64.57	$95.50	$125.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $79.43 / $85.11	Facility		$66.07	$79.43	$85.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $89.13 / $204.17	Facility		$53.70	$89.13	$204.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $79.43 / $109.65	Professional		$63.10	$79.43	$109.65
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,258.93 / $1,621.81	Facility		$1,047.13	$1,258.93	$1,621.81
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $85.11 / $102.33	Professional		$74.13	$85.11	$102.33
United Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,513.56 / $1,949.84	Facility		$1,202.26	$1,513.56	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $42.66 / $117.49	Professional		$34.67	$42.66	$117.49