Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.81 / $322.92 / $1,105.08	Facility		$13.81	$322.92	$1,105.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.20 / $85.90 / $160.94	Professional		$83.20	$85.90	$160.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.38 / $115.38 / $115.38	Facility		$115.38	$115.38	$115.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.23 / $84.23 / $115.38	Professional		$84.23	$84.23	$115.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $108.13 / $303.27 / $395.54	Professional		$108.13	$303.27	$395.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $92.66 / $126.94 / $154.47	Facility		$92.66	$126.94	$154.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $114.86 / $145.19 / $162.19	Professional		$114.86	$145.19	$162.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $122.61 / $148.58 / $163.74	Facility		$122.61	$148.58	$163.74
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $122.61 / $154.47 / $169.92	Professional		$122.61	$154.47	$169.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $92.66 / $132.50 / $162.19	Facility		$92.66	$132.50	$162.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $84.23 / $135.26 / $169.92	Professional		$84.23	$135.26	$169.92
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $128.69 / $256.88 / $541.92	Facility		$128.69	$256.88	$541.92
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $132.84 / $169.92 / $169.92	Professional		$132.84	$169.92	$169.92
United Facility/Professional Professional Modifier Low / Median / High Price $67.17 / $71.36 / $136.13	Professional		$67.17	$71.36	$136.13