Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Facility		$114.82	$114.82	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $104.71 / $169.82	Professional		$81.28	$104.71	$169.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Professional		$81.28	$81.28	$81.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $380.19 / $467.74	Professional		$144.54	$380.19	$467.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $144.54 / $194.98	Facility		$114.82	$144.54	$194.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $151.36 / $204.17	Professional		$141.25	$151.36	$204.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $186.21 / $199.53	Facility		$151.36	$186.21	$199.53
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $190.55 / $199.53	Professional		$169.82	$190.55	$199.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $158.49 / $245.47	Facility		$102.33	$158.49	$245.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $165.96 / $199.53	Professional		$81.28	$165.96	$199.53
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $269.15 / $724.44	Facility		$158.49	$269.15	$724.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $213.80 / $213.80	Professional		$194.98	$213.80	$213.80
United Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $281.84 / $380.19	Facility		$87.10	$281.84	$380.19
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $87.10 / $165.96	Professional		$79.43	$87.10	$165.96