Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $67.61	Facility		$67.61	$67.61	$67.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $56.23 / $128.82	Professional		$36.31	$56.23	$128.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Facility		$70.79	$70.79	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $51.29	Professional		$51.29	$51.29	$51.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $245.47 / $302.00	Professional		$87.10	$245.47	$302.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $85.11 / $134.90	Facility		$67.61	$85.11	$134.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $91.20 / $123.03	Professional		$83.18	$91.20	$123.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $112.20 / $147.91	Facility		$109.65	$112.20	$147.91
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $89.13 / $112.20	Professional		$81.28	$89.13	$112.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $97.72 / $158.49	Facility		$60.26	$97.72	$158.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $100.00 / $120.23	Professional		$51.29	$100.00	$120.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $158.49 / $436.52	Facility		$93.33	$158.49	$436.52
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $125.89 / $125.89	Professional		$114.82	$125.89	$125.89
United Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $67.61 / $245.47	Facility		$52.48	$67.61	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $56.23 / $107.15	Professional		$51.29	$56.23	$107.15