Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.22 / $92.22 / $92.22	Facility		$92.22	$92.22	$92.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.03 / $54.60 / $299.43	Professional		$52.03	$54.60	$299.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.04 / $73.04 / $73.04	Facility		$73.04	$73.04	$73.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.08 / $73.04 / $88.31	Professional		$62.08	$73.04	$88.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $71.12 / $91.44 / $295.68	Professional		$71.12	$91.44	$295.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $54.60 / $102.96 / $137.01	Facility		$54.60	$102.96	$137.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $10.16 / $97.78 / $106.68	Professional		$10.16	$97.78	$106.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $101.60 / $112.16 / $133.80	Facility		$101.60	$112.16	$133.80
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $96.52 / $111.76 / $129.87	Professional		$96.52	$111.76	$129.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $39.03 / $91.32 / $137.01	Facility		$39.03	$91.32	$137.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $73.04 / $95.82 / $123.05	Professional		$73.04	$95.82	$123.05
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $154.00 / $154.00 / $181.14	Facility		$154.00	$154.00	$181.14
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $104.42 / $104.42 / $104.42	Professional		$104.42	$104.42	$104.42
United Facility/Professional Facility Modifier Low / Median / High Price $7.74 / $58.05 / $77.41	Facility		$7.74	$58.05	$77.41
United Facility/Professional Professional Modifier Low / Median / High Price $51.77 / $53.72 / $99.53	Professional		$51.77	$53.72	$99.53