Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.43 / $110.43 / $110.43	Facility		$110.43	$110.43	$110.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.36 / $64.44 / $364.59	Professional		$63.36	$64.44	$364.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.94 / $78.94 / $78.94	Facility		$78.94	$78.94	$78.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.09 / $78.94 / $97.75	Professional		$67.09	$78.94	$97.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $88.46 / $113.73 / $354.05	Professional		$88.46	$113.73	$354.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $63.31 / $94.96 / $126.38	Facility		$63.31	$94.96	$126.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $94.87 / $126.37	Professional		$12.00	$94.87	$126.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $115.67 / $123.42 / $139.01	Facility		$115.67	$123.42	$139.01
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $115.67 / $126.37 / $132.69	Professional		$115.67	$126.37	$132.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $63.31 / $90.44 / $126.38	Facility		$63.31	$90.44	$126.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $92.51 / $120.28 / $123.41	Professional		$92.51	$120.28	$123.41
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $178.65 / $178.65 / $210.14	Facility		$178.65	$178.65	$210.14
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $121.23 / $121.23 / $121.23	Professional		$121.23	$121.23	$121.23
United Facility/Professional Professional Modifier Low / Median / High Price $51.30 / $62.49 / $123.02	Professional		$51.30	$62.49	$123.02