Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.91 / $138.91 / $138.91	Facility		$138.91	$138.91	$138.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.25 / $85.25 / $490.73	Professional		$85.25	$85.25	$490.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.90 / $115.90 / $115.90	Facility		$115.90	$115.90	$115.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.52 / $115.90 / $133.46	Professional		$98.52	$115.90	$133.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $110.86 / $142.53 / $445.40	Professional		$110.86	$142.53	$445.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $61.72 / $161.36 / $214.71	Facility		$61.72	$161.36	$214.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.84 / $153.76 / $166.29	Professional		$15.84	$153.76	$166.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $158.37 / $177.92 / $209.68	Facility		$158.37	$177.92	$209.68
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $158.37 / $166.26 / $197.69	Professional		$158.37	$166.26	$197.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $61.72 / $129.09 / $214.71	Facility		$61.72	$129.09	$214.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $115.90 / $149.62 / $187.33	Professional		$115.90	$149.62	$187.33
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $240.46 / $240.46 / $282.83	Facility		$240.46	$240.46	$282.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $163.05 / $163.05 / $163.05	Professional		$163.05	$163.05	$163.05
United Facility/Professional Professional Modifier Low / Median / High Price $83.39 / $83.39 / $160.24	Professional		$83.39	$83.39	$160.24