Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $83.18 / $83.18	Facility		$83.18	$83.18	$83.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $83.18 / $128.82	Professional		$64.57	$83.18	$128.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Facility		$89.13	$89.13	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Professional		$64.57	$64.57	$64.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $302.00 / $380.19	Professional		$107.15	$302.00	$380.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $107.15 / $151.36	Facility		$85.11	$107.15	$151.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $112.20 / $154.88	Professional		$104.71	$112.20	$154.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $138.04 / $141.25	Facility		$112.20	$138.04	$141.25
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $141.25 / $141.25	Professional		$125.89	$141.25	$141.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $120.23 / $199.53	Facility		$75.86	$120.23	$199.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $123.03 / $147.91	Professional		$64.57	$123.03	$147.91
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $199.53 / $537.03	Facility		$117.49	$199.53	$537.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $158.49 / $158.49	Professional		$144.54	$158.49	$158.49
United Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $89.13 / $309.03	Facility		$69.18	$89.13	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $70.79 / $134.90	Professional		$63.10	$70.79	$134.90