Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $83.18 / $83.18	Facility		$83.18	$83.18	$83.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $83.18 / $125.89	Professional		$60.26	$83.18	$125.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Facility		$87.10	$87.10	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Professional		$63.10	$63.10	$63.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $302.00 / $371.54	Professional		$107.15	$302.00	$371.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $107.15 / $169.82	Facility		$85.11	$107.15	$169.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $114.82 / $154.88	Professional		$104.71	$114.82	$154.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $138.04 / $186.21	Facility		$112.20	$138.04	$186.21
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $186.21	Professional		$141.25	$141.25	$186.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $123.03 / $190.55	Facility		$72.44	$123.03	$190.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $123.03 / $147.91	Professional		$63.10	$123.03	$147.91
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $199.53 / $537.03	Facility		$117.49	$199.53	$537.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $158.49 / $158.49	Professional		$144.54	$158.49	$158.49
United Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $93.33 / $302.00	Facility		$69.18	$93.33	$302.00
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $69.18 / $131.83	Professional		$63.10	$69.18	$131.83