Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.66 / $118.66 / $118.66	Facility		$118.66	$118.66	$118.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.93 / $86.11 / $468.80	Professional		$84.93	$86.11	$468.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.50 / $123.50 / $123.50	Facility		$123.50	$123.50	$123.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.35 / $121.41 / $248.85	Professional		$12.35	$121.41	$248.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $99.99 / $282.82 / $380.42	Professional		$99.99	$282.82	$380.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $86.11 / $142.84 / $244.23	Facility		$86.11	$142.84	$244.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $21.11 / $138.68 / $201.79	Professional		$21.11	$138.68	$201.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $142.84 / $180.94 / $215.94	Facility		$142.84	$180.94	$215.94
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $142.84 / $164.49 / $215.93	Professional		$142.84	$164.49	$215.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $86.11 / $142.84 / $222.03	Facility		$86.11	$142.84	$222.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $114.56 / $151.09 / $210.40	Professional		$114.56	$151.09	$210.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $139.91 / $285.74 / $563.37	Facility		$139.91	$285.74	$563.37
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $164.61 / $164.61 / $164.61	Professional		$164.61	$164.61	$164.61
United Facility/Professional Professional Modifier Low / Median / High Price $78.36 / $93.47 / $156.72	Professional		$78.36	$93.47	$156.72