Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $145.09 / $145.09 / $145.09	Facility		$145.09	$145.09	$145.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.94 / $91.42 / $523.45	Professional		$90.94	$91.42	$523.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.47 / $114.47 / $114.47	Facility		$114.47	$114.47	$114.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.30 / $114.47 / $137.96	Professional		$97.30	$114.47	$137.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.35 / $154.74 / $465.15	Professional		$120.35	$154.74	$465.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $90.94 / $192.03 / $220.25	Facility		$90.94	$192.03	$220.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $17.93 / $163.33 / $209.24	Professional		$17.93	$163.33	$209.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $168.86 / $192.03 / $223.51	Facility		$168.86	$192.03	$223.51
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $168.86 / $171.93 / $215.24	Professional		$168.86	$171.93	$215.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $90.94 / $182.89 / $225.45	Facility		$90.94	$182.89	$225.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $114.47 / $159.62 / $199.65	Professional		$114.47	$159.62	$199.65
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $256.49 / $256.49 / $301.70	Facility		$256.49	$256.49	$301.70
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $173.95 / $173.95 / $173.95	Professional		$173.95	$173.95	$173.95
United Facility/Professional Professional Modifier Low / Median / High Price $87.07 / $100.39 / $167.32	Professional		$87.07	$100.39	$167.32