Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Facility		$75.86	$75.86	$75.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $72.44 / $123.03	Professional		$58.88	$72.44	$123.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Facility		$77.62	$77.62	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Professional		$56.23	$56.23	$56.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $263.03 / $323.59	Professional		$97.72	$263.03	$323.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $97.72 / $141.25	Facility		$77.62	$97.72	$141.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $102.33 / $141.25	Professional		$93.33	$102.33	$141.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $123.03 / $128.82	Facility		$102.33	$123.03	$128.82
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $128.82 / $128.82	Professional		$114.82	$128.82	$128.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $109.65 / $165.96	Facility		$69.18	$109.65	$165.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $112.20 / $134.90	Professional		$56.23	$112.20	$134.90
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $181.97 / $489.78	Facility		$107.15	$181.97	$489.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $144.54 / $144.54	Professional		$131.83	$144.54	$144.54
United Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $81.28 / $263.03	Facility		$60.26	$81.28	$263.03
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $60.26 / $114.82	Professional		$54.95	$60.26	$114.82