Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Facility		$131.83	$131.83	$131.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $109.65 / $213.80	Professional		$87.10	$109.65	$213.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Facility		$125.89	$125.89	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Professional		$91.20	$91.20	$91.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $398.11 / $489.78	Professional		$169.82	$398.11	$489.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $165.96 / $223.87	Facility		$131.83	$165.96	$223.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $177.83 / $239.88	Professional		$162.18	$177.83	$239.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $181.97 / $223.87	Facility		$177.83	$181.97	$223.87
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $223.87 / $223.87	Professional		$181.97	$223.87	$223.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $173.78 / $269.15	Facility		$112.20	$173.78	$269.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $190.55 / $234.42	Professional		$87.10	$190.55	$234.42
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $316.23 / $851.14	Facility		$186.21	$316.23	$851.14
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $251.19 / $251.19	Professional		$223.87	$251.19	$251.19
United Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $117.49 / $398.11	Facility		$87.10	$117.49	$398.11
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $91.20 / $173.78	Professional		$83.18	$91.20	$173.78