Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Facility		$158.49	$158.49	$158.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $141.25 / $208.93	Professional		$100.00	$141.25	$208.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Facility		$165.96	$165.96	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Professional		$120.23	$120.23	$120.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $501.19 / $616.60	Professional		$204.17	$501.19	$616.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $204.17 / $275.42	Facility		$162.18	$204.17	$275.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $213.80 / $295.12	Professional		$199.53	$213.80	$295.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $251.19 / $269.15	Facility		$213.80	$251.19	$269.15
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $269.15 / $269.15	Professional		$239.88	$269.15	$269.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $223.87 / $338.84	Facility		$134.90	$223.87	$338.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $234.42 / $281.84	Professional		$87.10	$234.42	$281.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $380.19 / $1,023.29	Facility		$223.87	$380.19	$1,023.29
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $302.00 / $302.00	Professional		$275.42	$302.00	$302.00
United Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $213.80 / $501.19	Facility		$114.82	$213.80	$501.19
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $114.82 / $218.78	Professional		$104.71	$114.82	$218.78