Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.24 / $154.24 / $154.24	Facility		$154.24	$154.24	$154.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.73 / $97.49 / $399.00	Professional		$87.73	$97.49	$399.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.73 / $96.73 / $96.73	Facility		$96.73	$96.73	$96.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.61 / $70.61 / $96.73	Professional		$70.61	$70.61	$96.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $113.76 / $309.66 / $403.87	Professional		$113.76	$309.66	$403.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $97.49 / $133.56 / $162.52	Facility		$97.49	$133.56	$162.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $120.84 / $152.77 / $170.65	Professional		$120.84	$152.77	$170.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $129.00 / $158.71 / $175.73	Facility		$129.00	$158.71	$175.73
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $129.11 / $162.52 / $178.77	Professional		$129.11	$162.52	$178.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $96.73 / $139.41 / $170.65	Facility		$96.73	$139.41	$170.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.61 / $142.31 / $178.77	Professional		$70.61	$142.31	$178.77
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $135.40 / $270.26 / $570.17	Facility		$135.40	$270.26	$570.17
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $139.77 / $178.77 / $178.77	Professional		$139.77	$178.77	$178.77
United Facility/Professional Professional Modifier Low / Median / High Price $69.34 / $72.88 / $139.68	Professional		$69.34	$72.88	$139.68