Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $341.60 / $341.60 / $341.60	Facility		$341.60	$341.60	$341.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.01 / $123.69 / $740.36	Professional		$101.01	$123.69	$740.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.61 / $125.61 / $125.61	Facility		$125.61	$125.61	$125.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.70 / $91.70 / $91.70	Professional		$91.70	$91.70	$91.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $144.33 / $426.13 / $555.78	Professional		$144.33	$426.13	$555.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $123.69 / $177.08 / $206.42	Facility		$123.69	$177.08	$206.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $153.32 / $193.82 / $216.50	Professional		$153.32	$193.82	$216.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $163.68 / $206.19 / $226.81	Facility		$163.68	$206.19	$226.81
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $185.57 / $206.19 / $226.81	Professional		$185.57	$206.19	$226.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $123.69 / $180.55 / $216.50	Facility		$123.69	$180.55	$216.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $91.70 / $180.55 / $226.81	Professional		$91.70	$180.55	$226.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $171.79 / $342.90 / $723.39	Facility		$171.79	$342.90	$723.39
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $177.32 / $226.81 / $226.81	Professional		$177.32	$226.81	$226.81
United Facility/Professional Professional Modifier Low / Median / High Price $95.43 / $100.29 / $191.34	Professional		$95.43	$100.29	$191.34