Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $165.96 / $371.54	Facility		$134.90	$165.96	$371.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $131.83 / $275.42	Professional		$100.00	$131.83	$275.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Facility		$131.83	$131.83	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Professional		$95.50	$95.50	$95.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $457.09 / $562.34	Professional		$173.78	$457.09	$562.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $173.78 / $239.88	Facility		$138.04	$173.78	$239.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $181.97 / $251.19	Professional		$162.18	$181.97	$251.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $223.87 / $234.42	Facility		$181.97	$223.87	$234.42
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $229.09 / $234.42	Professional		$204.17	$229.09	$234.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $190.55 / $288.40	Facility		$123.03	$190.55	$288.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $199.53 / $239.88	Professional		$79.43	$199.53	$239.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $323.59 / $870.96	Facility		$190.55	$323.59	$870.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $257.04 / $257.04	Professional		$234.42	$257.04	$257.04
United Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $338.84 / $457.09	Facility		$102.33	$338.84	$457.09
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $104.71 / $199.53	Professional		$93.33	$104.71	$199.53