Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Facility		$107.15	$107.15	$107.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $107.15 / $186.21	Professional		$77.62	$107.15	$186.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $83.18	Professional		$83.18	$83.18	$83.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $380.19 / $467.74	Professional		$134.90	$380.19	$467.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $131.83 / $223.87	Facility		$109.65	$131.83	$223.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $141.25 / $190.55	Professional		$131.83	$141.25	$190.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $169.82 / $218.78	Facility		$141.25	$169.82	$218.78
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $177.83 / $218.78	Professional		$158.49	$177.83	$218.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $151.36 / $239.88	Facility		$93.33	$151.36	$239.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $154.88 / $186.21	Professional		$83.18	$154.88	$186.21
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $251.19 / $676.08	Facility		$147.91	$251.19	$676.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $199.53 / $199.53	Professional		$177.83	$199.53	$199.53
United Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $117.49 / $380.19	Facility		$75.86	$117.49	$380.19
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $87.10 / $165.96	Professional		$79.43	$87.10	$165.96