Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.48 / $117.48 / $117.48	Facility		$117.48	$117.48	$117.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.19 / $72.19 / $415.46	Professional		$72.19	$72.19	$415.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.65 / $94.65 / $94.65	Facility		$94.65	$94.65	$94.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.45 / $94.65 / $113.35	Professional		$80.45	$94.65	$113.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $97.59 / $125.47 / $376.64	Professional		$97.59	$125.47	$376.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $72.19 / $144.83 / $166.12	Facility		$72.19	$144.83	$166.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.80 / $124.57 / $157.81	Professional		$15.80	$124.57	$157.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $139.41 / $149.15 / $178.01	Facility		$139.41	$149.15	$178.01
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $131.96 / $149.15 / $161.83	Professional		$131.96	$149.15	$161.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $72.19 / $132.13 / $192.61	Facility		$72.19	$132.13	$192.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $94.65 / $126.70 / $157.59	Professional		$94.65	$126.70	$157.59
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $203.58 / $203.58 / $239.46	Facility		$203.58	$203.58	$239.46
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $138.08 / $138.08 / $138.08	Professional		$138.08	$138.08	$138.08
United Facility/Professional Professional Modifier Low / Median / High Price $70.58 / $75.56 / $135.66	Professional		$70.58	$75.56	$135.66