Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.82 / $171.82 / $171.82	Facility		$171.82	$171.82	$171.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.70 / $97.70 / $587.67	Professional		$97.70	$97.70	$587.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.15 / $83.15 / $83.15	Facility		$83.15	$83.15	$83.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.70 / $83.14 / $158.74	Professional		$60.70	$83.14	$158.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $138.08 / $157.80 / $550.86	Professional		$138.08	$157.80	$550.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $97.70 / $174.93 / $199.59	Facility		$97.70	$174.93	$199.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.72 / $156.21 / $199.59	Professional		$19.72	$156.21	$199.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $179.63 / $197.25 / $239.51	Facility		$179.63	$197.25	$239.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $83.15 / $143.63 / $199.59	Facility		$83.15	$143.63	$199.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $83.14 / $171.51 / $194.91	Professional		$83.14	$171.51	$194.91
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $275.52 / $275.52 / $324.08	Facility		$275.52	$275.52	$324.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $186.94 / $186.94 / $186.94	Professional		$186.94	$186.94	$186.94
United Facility/Professional Professional Modifier Low / Median / High Price $94.76 / $97.22 / $191.51	Professional		$94.76	$97.22	$191.51