Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Facility		$69.18	$69.18	$69.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $75.86 / $114.82	Professional		$48.98	$75.86	$114.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Facility		$75.86	$75.86	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Professional		$56.23	$56.23	$56.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $186.21 / $234.42	Professional		$67.61	$186.21	$234.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $117.49 / $147.91	Facility		$72.44	$117.49	$147.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $114.82 / $125.89	Professional		$85.11	$114.82	$125.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $112.20 / $128.82	Facility		$87.10	$112.20	$128.82
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $89.13 / $131.83	Professional		$87.10	$89.13	$131.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $97.72 / $186.21	Facility		$69.18	$97.72	$186.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $87.10 / $128.82	Professional		$56.23	$87.10	$128.82
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $223.87 / $371.54	Facility		$85.11	$223.87	$371.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $97.72 / $141.25	Professional		$89.13	$97.72	$141.25
United Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $169.82 / $229.09	Facility		$70.79	$169.82	$229.09
United Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $72.44 / $109.65	Professional		$50.12	$72.44	$109.65