Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.74 / $142.74 / $142.74	Facility		$142.74	$142.74	$142.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.62 / $80.62 / $463.97	Professional		$80.62	$80.62	$463.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.50 / $111.50 / $111.50	Facility		$111.50	$111.50	$111.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.78 / $111.50 / $129.57	Professional		$94.78	$111.50	$129.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $109.94 / $141.35 / $457.62	Professional		$109.94	$141.35	$457.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $80.62 / $158.28 / $181.52	Facility		$80.62	$158.28	$181.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $17.25 / $136.28 / $172.44	Professional		$17.25	$136.28	$172.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $157.06 / $165.69 / $199.68	Facility		$157.06	$165.69	$199.68
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $157.06 / $165.69 / $181.53	Professional		$157.06	$165.69	$181.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $59.99 / $141.51 / $210.48	Facility		$59.99	$141.51	$210.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $111.50 / $141.51 / $177.05	Professional		$111.50	$141.51	$177.05
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $227.35 / $227.35 / $267.42	Facility		$227.35	$227.35	$267.42
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $154.22 / $154.22 / $154.22	Professional		$154.22	$154.22	$154.22
United Facility/Professional Professional Modifier Low / Median / High Price $80.23 / $82.57 / $160.44	Professional		$80.23	$82.57	$160.44