Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Facility		$169.82	$169.82	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $151.36 / $234.42	Professional		$117.49	$151.36	$234.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Facility		$158.49	$158.49	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Professional		$117.49	$117.49	$117.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $549.54 / $691.83	Professional		$213.80	$549.54	$691.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $213.80 / $316.23	Facility		$169.82	$213.80	$316.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $223.87 / $309.03	Professional		$208.93	$223.87	$309.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $269.15 / $281.84	Facility		$223.87	$269.15	$281.84
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $281.84 / $281.84	Professional		$251.19	$281.84	$281.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $239.88 / $363.08	Facility		$141.25	$239.88	$363.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $245.47 / $295.12	Professional		$87.10	$245.47	$295.12
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $398.11 / $1,071.52	Facility		$234.42	$398.11	$1,071.52
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $316.23 / $316.23	Professional		$288.40	$316.23	$316.23
United Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $169.82 / $562.34	Facility		$125.89	$169.82	$562.34
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $128.82 / $245.47	Professional		$114.82	$128.82	$245.47