Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.22 / $92.22 / $92.22	Facility		$92.22	$92.22	$92.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.85 / $55.85 / $321.45	Professional		$55.85	$55.85	$321.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.97 / $73.97 / $73.97	Facility		$73.97	$73.97	$73.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.87 / $73.97 / $89.56	Professional		$62.87	$73.97	$89.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $75.01 / $96.44 / $295.68	Professional		$75.01	$96.44	$295.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $55.85 / $98.19 / $130.62	Facility		$55.85	$98.19	$130.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $98.04 / $112.51	Professional		$10.72	$98.04	$112.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $115.43 / $139.30	Facility		$107.15	$115.43	$139.30
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $115.43 / $126.82	Professional		$107.15	$115.43	$126.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $36.38 / $93.51 / $130.62	Facility		$36.38	$93.51	$130.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $73.97 / $98.03 / $123.50	Professional		$73.97	$98.03	$123.50
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $157.52 / $157.52 / $185.28	Facility		$157.52	$157.52	$185.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $106.84 / $106.84 / $106.84	Professional		$106.84	$106.84	$106.84
United Facility/Professional Professional Modifier Low / Median / High Price $53.04 / $55.40 / $106.48	Professional		$53.04	$55.40	$106.48