Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Facility		$85.11	$85.11	$85.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $77.62 / $128.82	Professional		$61.66	$77.62	$128.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Facility		$81.28	$81.28	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $281.84 / $354.81	Professional		$109.65	$281.84	$354.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $109.65 / $151.36	Facility		$85.11	$109.65	$151.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $114.82 / $151.36	Professional		$104.71	$114.82	$151.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $138.04 / $147.91	Facility		$112.20	$138.04	$147.91
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $141.25 / $147.91	Professional		$128.82	$141.25	$147.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $117.49 / $181.97	Facility		$77.62	$117.49	$181.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $125.89 / $151.36	Professional		$60.26	$125.89	$151.36
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $204.17 / $549.54	Facility		$120.23	$204.17	$549.54
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 $64.57 / $104.71 / $281.84	Facility		$64.57	$104.71	$281.84
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $64.57 / $123.03	Professional		$58.88	$64.57	$123.03