Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $212.64 / $212.64 / $212.64	Facility		$212.64	$212.64	$212.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.47 / $130.47 / $751.01	Professional		$130.47	$130.47	$751.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.31 / $166.31 / $166.31	Facility		$166.31	$166.31	$166.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.36 / $166.31 / $196.56	Professional		$141.36	$166.31	$196.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $170.72 / $219.50 / $681.74	Professional		$170.72	$219.50	$681.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $130.47 / $282.63 / $353.86	Facility		$130.47	$282.63	$353.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $25.59 / $231.70 / $307.94	Professional		$25.59	$231.70	$307.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $243.89 / $279.63 / $317.06	Facility		$243.89	$279.63	$317.06
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $243.89 / $254.21 / $298.98	Professional		$243.89	$254.21	$298.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $130.47 / $269.17 / $375.87	Facility		$130.47	$269.17	$375.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $166.31 / $229.00 / $284.14	Professional		$166.31	$229.00	$284.14
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $368.00 / $368.00 / $432.86	Facility		$368.00	$368.00	$432.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $249.55 / $249.55 / $249.55	Professional		$249.55	$249.55	$249.55
United Facility/Professional Professional Modifier Low / Median / High Price $127.66 / $127.66 / $245.33	Professional		$127.66	$127.66	$245.33