Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $216.01 / $403.60 / $414.10	Facility		$216.01	$403.60	$414.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.25 / $139.94 / $470.28	Professional		$128.25	$139.94	$470.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $152.55 / $152.55 / $152.55	Facility		$152.55	$152.55	$152.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.36 / $111.36 / $152.55	Professional		$111.36	$111.36	$152.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $163.31 / $452.40 / $590.04	Professional		$163.31	$452.40	$590.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $139.94 / $191.73 / $233.30	Facility		$139.94	$191.73	$233.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $173.48 / $219.30 / $244.97	Professional		$173.48	$219.30	$244.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $185.20 / $233.30 / $256.63	Facility		$185.20	$233.30	$256.63
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $209.97 / $233.30 / $241.65	Professional		$209.97	$233.30	$241.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $139.94 / $200.13 / $244.97	Facility		$139.94	$200.13	$244.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $111.36 / $204.29 / $256.63	Professional		$111.36	$204.29	$256.63
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $194.38 / $387.98 / $818.51	Facility		$194.38	$387.98	$818.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $200.64 / $256.63 / $256.63	Professional		$200.64	$256.63	$256.63
United Facility/Professional Professional Modifier Low / Median / High Price $100.28 / $106.53 / $203.25	Professional		$100.28	$106.53	$203.25