Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Facility		$177.83	$177.83	$177.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $165.96 / $251.19	Professional		$138.04	$165.96	$251.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Facility		$173.78	$173.78	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Professional		$125.89	$125.89	$125.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $602.56 / $741.31	Professional		$223.87	$602.56	$741.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $223.87 / $354.81	Facility		$177.83	$223.87	$354.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $239.88 / $323.59	Professional		$218.78	$239.88	$323.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $288.40 / $371.54	Facility		$234.42	$288.40	$371.54
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $295.12 / $371.54	Professional		$263.03	$295.12	$371.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $251.19 / $380.19	Facility		$147.91	$251.19	$380.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $257.04 / $309.03	Professional		$87.10	$257.04	$309.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $416.87 / $1,122.02	Facility		$245.47	$416.87	$1,122.02
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $331.13 / $331.13	Professional		$302.00	$331.13	$331.13
United Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $190.55 / $602.56	Facility		$138.04	$190.55	$602.56
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $138.04 / $263.03	Professional		$125.89	$138.04	$263.03