Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Facility		$169.82	$169.82	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $131.83 / $234.42	Professional		$102.33	$131.83	$234.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Facility		$131.83	$131.83	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $131.83 / $154.88	Professional		$112.20	$131.83	$154.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $389.05 / $489.78	Professional		$144.54	$389.05	$489.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $141.25 / $229.09	Facility		$15.14	$141.25	$229.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $194.98 / $213.80	Professional		$173.78	$194.98	$213.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $199.53 / $229.09	Facility		$194.98	$199.53	$229.09
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $199.53 / $223.87	Professional		$194.98	$199.53	$223.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $141.25 / $239.88	Facility		$107.15	$141.25	$239.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $112.20 / $218.78	Professional		$87.10	$112.20	$218.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $288.40 / $676.08	Facility		$190.55	$288.40	$676.08
United Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $104.71 / $141.25	Facility		$14.13	$104.71	$141.25
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $97.72 / $186.21	Professional		$95.50	$97.72	$186.21