Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.00 / $72.00 / $73.80	Facility		$72.00	$72.00	$73.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.33 / $105.98 / $574.60	Professional		$90.33	$105.98	$574.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $121.82 / $121.82 / $121.82	Facility		$121.82	$121.82	$121.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.93 / $88.93 / $121.82	Professional		$88.93	$88.93	$121.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $123.52 / $373.57 / $487.24	Professional		$123.52	$373.57	$487.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $105.84 / $145.00 / $181.17	Facility		$105.84	$145.00	$181.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $131.19 / $165.86 / $176.45	Professional		$131.19	$165.86	$176.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $140.06 / $172.31 / $194.10	Facility		$140.06	$172.31	$194.10
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $149.97 / $176.45 / $194.10	Professional		$149.97	$176.45	$194.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $105.84 / $151.54 / $185.27	Facility		$105.84	$151.54	$185.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $88.93 / $154.50 / $194.10	Professional		$88.93	$154.50	$194.10
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $147.00 / $293.42 / $619.02	Facility		$147.00	$293.42	$619.02
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $151.75 / $194.10 / $194.10	Professional		$151.75	$194.10	$194.10
United Facility/Professional Professional Modifier Low / Median / High Price $82.86 / $88.03 / $167.94	Professional		$82.86	$88.03	$167.94