Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Facility		$70.79	$70.79	$70.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $64.57 / $107.15	Professional		$51.29	$64.57	$107.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $67.61	Facility		$67.61	$67.61	$67.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $48.98 / $48.98	Professional		$48.98	$48.98	$48.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $234.42 / $288.40	Professional		$91.20	$234.42	$288.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $89.13 / $123.03	Facility		$70.79	$89.13	$123.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $93.33 / $125.89	Professional		$87.10	$93.33	$125.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $114.82 / $123.03	Facility		$93.33	$114.82	$123.03
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $117.49 / $123.03	Professional		$107.15	$117.49	$123.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $97.72 / $151.36	Facility		$64.57	$97.72	$151.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $102.33 / $123.03	Professional		$48.98	$102.33	$123.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $165.96 / $457.09	Facility		$97.72	$165.96	$457.09
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $131.83 / $131.83	Professional		$120.23	$131.83	$131.83
United Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $177.83 / $234.42	Facility		$53.70	$177.83	$234.42
United Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $53.70 / $102.33	Professional		$48.98	$53.70	$102.33