Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.30 / $121.30 / $121.30	Facility		$121.30	$121.30	$121.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.90 / $73.16 / $424.97	Professional		$66.90	$73.16	$424.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.42 / $96.42 / $96.42	Facility		$96.42	$96.42	$96.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.96 / $96.42 / $106.80	Professional		$81.96	$96.42	$106.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $93.40 / $120.09 / $388.89	Professional		$93.40	$120.09	$388.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $66.84 / $100.27 / $133.43	Facility		$66.84	$100.27	$133.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13.41 / $100.27 / $133.43	Professional		$13.41	$100.27	$133.43
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $130.30 / $133.43 / $160.12	Facility		$130.30	$133.43	$160.12
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $130.30 / $133.43 / $146.77	Professional		$130.30	$133.43	$146.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $66.84 / $98.84 / $133.43	Facility		$66.84	$98.84	$133.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $96.42 / $117.44 / $138.88	Professional		$96.42	$117.44	$138.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $188.65 / $188.65 / $221.90	Facility		$188.65	$188.65	$221.90
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $128.01 / $128.01 / $128.01	Professional		$128.01	$128.01	$128.01
United Facility/Professional Professional Modifier Low / Median / High Price $62.66 / $66.56 / $130.30	Professional		$62.66	$66.56	$130.30