Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Facility		$70.79	$70.79	$70.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $70.79 / $102.33	Professional		$56.23	$70.79	$102.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Facility		$91.20	$91.20	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $67.61	Professional		$67.61	$67.61	$67.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $251.19 / $309.03	Professional		$91.20	$251.19	$309.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $91.20 / $104.71	Facility		$81.28	$91.20	$104.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $95.50 / $128.82	Professional		$89.13	$95.50	$128.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $117.49 / $144.54	Facility		$95.50	$117.49	$144.54
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $120.23 / $144.54	Professional		$107.15	$120.23	$144.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $102.33 / $151.36	Facility		$63.10	$102.33	$151.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $104.71 / $125.89	Professional		$67.61	$104.71	$125.89
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $169.82 / $457.09	Facility		$100.00	$169.82	$457.09
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $134.90 / $134.90	Professional		$120.23	$134.90	$134.90
United Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $74.13 / $251.19	Facility		$54.95	$74.13	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $57.54 / $109.65	Professional		$51.29	$57.54	$109.65