Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $148.32 / $148.32 / $148.32	Facility		$148.32	$148.32	$148.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.78 / $85.78 / $493.23	Professional		$85.78	$85.78	$493.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.53 / $70.53 / $70.53	Facility		$70.53	$70.53	$70.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.49 / $70.53 / $128.61	Professional		$51.49	$70.53	$128.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $115.56 / $132.06 / $475.51	Professional		$115.56	$132.06	$475.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $85.78 / $174.56 / $199.17	Facility		$85.78	$174.56	$199.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.51 / $149.40 / $173.33	Professional		$16.51	$149.40	$173.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $165.08 / $169.29 / $211.18	Facility		$165.08	$169.29	$211.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $70.53 / $118.87 / $199.17	Facility		$70.53	$118.87	$199.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.53 / $150.57 / $186.95	Professional		$70.53	$150.57	$186.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $241.92 / $241.92 / $284.56	Facility		$241.92	$241.92	$284.56
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $164.09 / $164.09 / $164.09	Professional		$164.09	$164.09	$164.09
United Facility/Professional Professional Modifier Low / Median / High Price $79.50 / $80.98 / $158.49	Professional		$79.50	$80.98	$158.49