Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Facility		$123.03	$123.03	$123.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $107.15 / $162.18	Professional		$81.28	$107.15	$162.18
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 $154.88 / $389.05 / $478.63	Professional		$154.88	$389.05	$478.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $154.88 / $229.09	Facility		$123.03	$154.88	$229.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $162.18 / $223.87	Professional		$151.36	$162.18	$223.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $177.83 / $204.17	Facility		$162.18	$177.83	$204.17
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $204.17 / $204.17	Professional		$177.83	$204.17	$204.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $165.96 / $251.19	Facility		$100.00	$165.96	$251.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $177.83 / $213.80	Professional		$81.28	$177.83	$213.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $288.40 / $776.25	Facility		$169.82	$288.40	$776.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $229.09 / $229.09	Professional		$208.93	$229.09	$229.09
United Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $120.23 / $389.05	Facility		$89.13	$120.23	$389.05
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $89.13 / $169.82	Professional		$81.28	$89.13	$169.82