Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $95.50 / $158.49	Professional		$69.18	$95.50	$158.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Professional		$72.44	$72.44	$72.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $346.74 / $426.58	Professional		$144.54	$346.74	$426.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $141.25 / $190.55	Facility		$114.82	$141.25	$190.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $151.36 / $204.17	Professional		$138.04	$151.36	$204.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $165.96 / $186.21	Facility		$147.91	$165.96	$186.21
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $186.21 / $186.21	Professional		$165.96	$186.21	$186.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $154.88 / $234.42	Facility		$83.18	$154.88	$234.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $162.18 / $194.98	Professional		$72.44	$162.18	$194.98
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $263.03 / $724.44	Facility		$154.88	$263.03	$724.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $208.93 / $208.93	Professional		$190.55	$208.93	$208.93
United Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $107.15 / $346.74	Facility		$102.33	$107.15	$346.74
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $79.43 / $151.36	Professional		$72.44	$79.43	$151.36