Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Facility		$177.83	$177.83	$177.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $138.04 / $208.93	Professional		$114.82	$138.04	$208.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Facility		$144.54	$144.54	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Professional		$104.71	$104.71	$104.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $501.19 / $630.96	Professional		$229.09	$501.19	$630.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $223.87 / $302.00	Facility		$177.83	$223.87	$302.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $234.42 / $323.59	Professional		$218.78	$234.42	$323.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $288.40 / $295.12	Facility		$234.42	$288.40	$295.12
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $295.12 / $295.12	Professional		$269.15	$295.12	$295.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $229.09 / $331.13	Facility		$141.25	$229.09	$331.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $251.19 / $309.03	Professional		$87.10	$251.19	$309.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $416.87 / $1,148.15	Facility		$245.47	$416.87	$1,148.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $331.13 / $331.13	Professional		$302.00	$331.13	$331.13
United Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $154.88 / $501.19	Facility		$114.82	$154.88	$501.19
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $114.82 / $218.78	Professional		$104.71	$114.82	$218.78