Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $114.82 / $114.82	Facility		$75.86	$114.82	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $97.72 / $169.82	Professional		$70.79	$97.72	$169.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Facility		$95.50	$95.50	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $95.50 / $177.83	Professional		$81.28	$95.50	$177.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $269.15 / $338.84	Professional		$91.20	$269.15	$338.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $95.50 / $162.18	Facility		$16.22	$95.50	$162.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $144.54 / $181.97	Professional		$117.49	$144.54	$181.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $138.04 / $190.55	Facility		$125.89	$138.04	$190.55
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $138.04 / $186.21	Professional		$125.89	$138.04	$186.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $128.82 / $194.98	Facility		$75.86	$128.82	$194.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $81.28 / $177.83	Professional		$79.43	$81.28	$177.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $213.80 / $512.86	Facility		$123.03	$213.80	$512.86
United Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $72.44 / $95.50	Facility		$9.55	$72.44	$95.50
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $91.20 / $154.88	Professional		$70.79	$91.20	$154.88