Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.00 / $126.00 / $126.00	Facility		$126.00	$126.00	$126.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.01 / $76.40 / $437.50	Professional		$76.01	$76.40	$437.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.30 / $100.30 / $100.30	Facility		$100.30	$100.30	$100.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.26 / $100.30 / $114.85	Professional		$85.26	$100.30	$114.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $101.61 / $130.63 / $403.95	Professional		$101.61	$130.63	$403.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $76.01 / $149.34 / $179.83	Facility		$76.01	$149.34	$179.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $17.05 / $134.90 / $170.84	Professional		$17.05	$134.90	$170.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $145.15 / $159.66 / $188.70	Facility		$145.15	$159.66	$188.70
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $142.86 / $157.66 / $173.17	Professional		$142.86	$157.66	$173.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $58.10 / $127.58 / $208.53	Facility		$58.10	$127.58	$208.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $100.30 / $133.41 / $168.64	Professional		$100.30	$133.41	$168.64
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $214.37 / $214.37 / $252.16	Facility		$214.37	$214.37	$252.16
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $145.40 / $145.40 / $145.40	Professional		$145.40	$145.40	$145.40
United Facility/Professional Professional Modifier Low / Median / High Price $75.65 / $75.65 / $145.40	Professional		$75.65	$75.65	$145.40