Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Facility		$147.91	$147.91	$147.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $134.90 / $229.09	Professional		$97.72	$134.90	$229.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Facility		$194.98	$194.98	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Professional		$141.25	$141.25	$141.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $489.78 / $602.56	Professional		$186.21	$489.78	$602.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $186.21 / $269.15	Facility		$147.91	$186.21	$269.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $194.98 / $269.15	Professional		$181.97	$194.98	$269.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $223.87 / $245.47	Facility		$194.98	$223.87	$245.47
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $245.47 / $245.47	Professional		$223.87	$245.47	$245.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $204.17 / $309.03	Facility		$117.49	$204.17	$309.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $213.80 / $257.04	Professional		$87.10	$213.80	$257.04
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $346.74 / $933.25	Facility		$204.17	$346.74	$933.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $275.42 / $275.42	Professional		$251.19	$275.42	$275.42
United Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $158.49 / $489.78	Facility		$147.91	$158.49	$489.78
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $112.20 / $213.80	Professional		$102.33	$112.20	$213.80