Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.97 / $108.97 / $108.97	Facility		$108.97	$108.97	$108.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.06 / $73.06 / $358.45	Professional		$73.06	$73.06	$358.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.10 / $62.10 / $62.10	Facility		$62.10	$62.10	$62.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.79 / $62.10 / $102.38	Professional		$52.79	$62.10	$102.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $102.31 / $116.93 / $349.36	Professional		$102.31	$116.93	$349.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $73.06 / $109.84 / $146.16	Facility		$73.06	$109.84	$146.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.23 / $110.30 / $146.16	Professional		$16.23	$110.30	$146.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $131.54 / $146.16 / $175.39	Facility		$131.54	$146.16	$175.39
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $131.54 / $146.16 / $160.78	Professional		$131.54	$146.16	$160.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.01 / $100.09 / $146.16	Facility		$40.01	$100.09	$146.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $62.10 / $127.98 / $142.72	Professional		$62.10	$127.98	$142.72
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $206.64 / $206.64 / $243.06	Facility		$206.64	$206.64	$243.06
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $139.11 / $139.11 / $139.11	Professional		$139.11	$139.11	$139.11
United Facility/Professional Professional Modifier Low / Median / High Price $58.34 / $61.98 / $121.32	Professional		$58.34	$61.98	$121.32