Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Facility		$91.20	$91.20	$91.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $83.18 / $138.04	Professional		$66.07	$83.18	$138.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Facility		$89.13	$89.13	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Professional		$64.57	$64.57	$64.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $302.00 / $380.19	Professional		$117.49	$302.00	$380.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $117.49 / $162.18	Facility		$91.20	$117.49	$162.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $123.03 / $165.96	Professional		$112.20	$123.03	$165.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $151.36 / $158.49	Facility		$123.03	$151.36	$158.49
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $154.88 / $158.49	Professional		$138.04	$154.88	$158.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $125.89 / $194.98	Facility		$83.18	$125.89	$194.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $134.90 / $162.18	Professional		$64.57	$134.90	$162.18
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $218.78 / $588.84	Facility		$128.82	$218.78	$588.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $173.78 / $173.78	Professional		$158.49	$173.78	$173.78
United Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $229.09 / $309.03	Facility		$69.18	$229.09	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $70.79 / $134.90	Professional		$63.10	$70.79	$134.90