Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.50 / $144.50 / $144.50	Facility		$144.50	$144.50	$144.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.03 / $92.03 / $529.77	Professional		$92.03	$92.03	$529.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.51 / $115.51 / $115.51	Facility		$115.51	$115.51	$115.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.18 / $115.51 / $138.02	Professional		$98.18	$115.51	$138.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.85 / $155.38 / $463.29	Professional		$120.85	$155.38	$463.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $92.03 / $197.83 / $263.08	Facility		$92.03	$197.83	$263.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $17.89 / $164.01 / $215.56	Professional		$17.89	$164.01	$215.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $172.64 / $197.83 / $223.09	Facility		$172.64	$197.83	$223.09
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $172.64 / $185.91 / $208.45	Professional		$172.64	$185.91	$208.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $92.03 / $188.41 / $347.34	Facility		$92.03	$188.41	$347.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $115.51 / $161.54 / $201.13	Professional		$115.51	$161.54	$201.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $259.58 / $259.58 / $305.33	Facility		$259.58	$259.58	$305.33
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $176.04 / $176.04 / $176.04	Professional		$176.04	$176.04	$176.04
United Facility/Professional Professional Modifier Low / Median / High Price $86.74 / $86.74 / $166.66	Professional		$86.74	$86.74	$166.66