Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.90 / $116.90 / $116.90	Facility		$116.90	$116.90	$116.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.90 / $72.43 / $418.93	Professional		$66.90	$72.43	$418.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.76 / $57.76 / $57.76	Facility		$57.76	$57.76	$57.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.10 / $57.76 / $103.09	Professional		$49.10	$57.76	$103.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $93.40 / $120.09 / $374.78	Professional		$93.40	$120.09	$374.78
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 $131.32 / $133.43 / $146.77	Professional		$131.32	$133.43	$146.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.97 / $91.65 / $133.43	Facility		$42.97	$91.65	$133.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $57.76 / $117.44 / $138.59	Professional		$57.76	$117.44	$138.59
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 / $128.01	Professional		$62.66	$66.56	$128.01