Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.80 / $97.80 / $97.80	Facility		$97.80	$97.80	$97.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.90 / $66.90 / $385.14	Professional		$66.90	$66.90	$385.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.62 / $81.62 / $81.62	Facility		$81.62	$81.62	$81.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.38 / $81.62 / $100.83	Professional		$69.38	$81.62	$100.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $83.67 / $107.58 / $313.58	Professional		$83.67	$107.58	$313.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $66.90 / $159.16 / $211.68	Facility		$66.90	$159.16	$211.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.87 / $116.04 / $173.41	Professional		$14.87	$116.04	$173.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $119.53 / $142.52 / $178.26	Facility		$119.53	$142.52	$178.26
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $119.53 / $122.29 / $158.36	Professional		$119.53	$122.29	$158.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $66.90 / $151.59 / $245.34	Facility		$66.90	$151.59	$245.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $81.62 / $117.41 / $150.11	Professional		$81.62	$117.41	$150.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $188.72 / $188.72 / $221.98	Facility		$188.72	$188.72	$221.98
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $127.93 / $127.93 / $127.93	Professional		$127.93	$127.93	$127.93
United Facility/Professional Professional Modifier Low / Median / High Price $63.90 / $82.62 / $127.80	Professional		$63.90	$82.62	$127.80