Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Facility		$138.04	$138.04	$138.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $128.82 / $194.98	Professional		$97.72	$128.82	$194.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Facility		$134.90	$134.90	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $467.74 / $588.84	Professional		$177.83	$467.74	$588.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $173.78 / $239.88	Facility		$138.04	$173.78	$239.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $186.21 / $251.19	Professional		$173.78	$186.21	$251.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $218.78 / $229.09	Facility		$181.97	$218.78	$229.09
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $229.09 / $239.88	Professional		$208.93	$229.09	$239.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $199.53 / $295.12	Facility		$114.82	$199.53	$295.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $204.17 / $239.88	Professional		$87.10	$204.17	$239.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $323.59 / $891.25	Facility		$190.55	$323.59	$891.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $257.04 / $257.04	Professional		$234.42	$257.04	$257.04
United Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $354.81 / $467.74	Facility		$107.15	$354.81	$467.74
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $107.15 / $204.17	Professional		$97.72	$107.15	$204.17