Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.57 / $141.57 / $141.57	Facility		$141.57	$141.57	$141.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.40 / $88.37 / $517.86	Professional		$77.40	$88.37	$517.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.30 / $120.30 / $120.30	Facility		$120.30	$120.30	$120.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.26 / $120.30 / $136.35	Professional		$102.26	$120.30	$136.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $112.92 / $337.43 / $453.87	Professional		$112.92	$337.43	$453.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $85.39 / $155.66 / $189.21	Facility		$85.39	$155.66	$189.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.13 / $153.25 / $163.44	Professional		$16.13	$153.25	$163.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $161.32 / $169.02 / $209.72	Facility		$161.32	$169.02	$209.72
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $145.19 / $169.02 / $196.88	Professional		$145.19	$169.02	$196.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $84.06 / $124.54 / $186.53	Facility		$84.06	$124.54	$186.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $120.30 / $149.88 / $191.73	Professional		$120.30	$149.88	$191.73
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $142.32 / $283.27 / $600.51	Facility		$142.32	$283.27	$600.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $163.33 / $163.33 / $163.33	Professional		$163.33	$163.33	$163.33
United Facility/Professional Professional Modifier Low / Median / High Price $84.98 / $93.97 / $163.33	Professional		$84.98	$93.97	$163.33