Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.01 / $163.01 / $163.01	Facility		$163.01	$163.01	$163.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.39 / $109.39 / $631.40	Professional		$109.39	$109.39	$631.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.41 / $134.41 / $134.41	Facility		$134.41	$134.41	$134.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.26 / $134.41 / $154.66	Professional		$114.26	$134.41	$154.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $153.19 / $175.07 / $522.61	Professional		$153.19	$175.07	$522.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $109.39 / $164.46 / $218.84	Facility		$109.39	$164.46	$218.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $21.67 / $165.17 / $218.84	Professional		$21.67	$165.17	$218.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $196.96 / $218.84 / $262.61	Facility		$196.96	$218.84	$262.61
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $207.90 / $218.84 / $218.84	Professional		$207.90	$218.84	$218.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $109.39 / $156.63 / $218.84	Facility		$109.39	$156.63	$218.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $134.41 / $191.62 / $213.71	Professional		$134.41	$191.62	$213.71
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $309.39 / $309.39 / $363.92	Facility		$309.39	$309.39	$363.92
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $208.29 / $208.29 / $208.29	Professional		$208.29	$208.29	$208.29
United Facility/Professional Professional Modifier Low / Median / High Price $86.54 / $92.80 / $181.65	Professional		$86.54	$92.80	$181.65