Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Facility		$125.89	$125.89	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $125.89 / $190.55	Professional		$91.20	$125.89	$190.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Facility		$141.25	$141.25	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Professional		$102.33	$102.33	$102.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $457.09 / $562.34	Professional		$162.18	$457.09	$562.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $158.49 / $251.19	Facility		$125.89	$158.49	$251.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $169.82 / $229.09	Professional		$154.88	$169.82	$229.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $204.17 / $281.84	Facility		$165.96	$204.17	$281.84
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $208.93 / $281.84	Professional		$190.55	$208.93	$281.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $181.97 / $288.40	Facility		$109.65	$181.97	$288.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $181.97 / $223.87	Professional		$87.10	$181.97	$223.87
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $295.12 / $812.83	Facility		$173.78	$295.12	$812.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $234.42 / $234.42	Professional		$213.80	$234.42	$234.42
United Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $162.18 / $457.09	Facility		$104.71	$162.18	$457.09
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $104.71 / $199.53	Professional		$95.50	$104.71	$199.53