Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $338.84	Facility		$123.03	$123.03	$338.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $120.23 / $194.98	Professional		$100.00	$120.23	$194.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Facility		$125.89	$125.89	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Professional		$91.20	$91.20	$91.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $436.52 / $537.03	Professional		$158.49	$436.52	$537.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $154.88 / $229.09	Facility		$123.03	$154.88	$229.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $165.96 / $223.87	Professional		$151.36	$165.96	$223.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $199.53 / $213.80	Facility		$162.18	$199.53	$213.80
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $204.17 / $213.80	Professional		$186.21	$204.17	$213.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $181.97 / $302.00	Facility		$117.49	$181.97	$302.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $181.97 / $213.80	Professional		$87.10	$181.97	$213.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $288.40 / $794.33	Facility		$169.82	$288.40	$794.33
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $229.09 / $229.09	Professional		$208.93	$229.09	$229.09
United Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $331.13 / $436.52	Facility		$100.00	$331.13	$436.52
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $100.00 / $190.55	Professional		$91.20	$100.00	$190.55