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 $77.62 / $107.15 / $208.93	Professional		$77.62	$107.15	$208.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Facility		$117.49	$117.49	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Professional		$85.11	$85.11	$85.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $389.05 / $478.63	Professional		$169.82	$389.05	$478.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $165.96 / $234.42	Facility		$131.83	$165.96	$234.42
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 $173.78 / $213.80 / $229.09	Facility		$173.78	$213.80	$229.09
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $218.78 / $229.09	Professional		$199.53	$218.78	$229.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $181.97 / $257.04	Facility		$117.49	$181.97	$257.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $194.98 / $234.42	Professional		$85.11	$194.98	$234.42
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $309.03 / $851.14	Facility		$181.97	$309.03	$851.14
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $245.47 / $245.47	Professional		$223.87	$245.47	$245.47
United Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $91.20 / $389.05	Facility		$77.62	$91.20	$389.05
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $89.13 / $169.82	Professional		$81.28	$89.13	$169.82