Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.52 / $92.52 / $92.52	Facility		$92.52	$92.52	$92.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.02 / $66.40 / $380.07	Professional		$66.02	$66.40	$380.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.17 / $81.17 / $81.17	Facility		$81.17	$81.17	$81.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.98 / $81.17 / $101.12	Professional		$68.98	$81.17	$101.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $83.03 / $106.75 / $296.60	Professional		$83.03	$106.75	$296.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $66.02 / $147.97 / $178.21	Facility		$66.02	$147.97	$178.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.50 / $115.16 / $169.30	Professional		$14.50	$115.16	$169.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $118.61 / $151.34 / $174.03	Facility		$118.61	$151.34	$174.03
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $106.75 / $126.12 / $155.86	Professional		$106.75	$126.12	$155.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $57.57 / $116.53 / $206.64	Facility		$57.57	$116.53	$206.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $81.17 / $115.87 / $149.18	Professional		$81.17	$115.87	$149.18
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $186.23 / $186.23 / $219.06	Facility		$186.23	$186.23	$219.06
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $126.26 / $126.26 / $126.26	Professional		$126.26	$126.26	$126.26
United Facility/Professional Professional Modifier Low / Median / High Price $61.50 / $70.87 / $123.00	Professional		$61.50	$70.87	$123.00