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 $69.18 / $87.10 / $144.54	Professional		$69.18	$87.10	$144.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Facility		$97.72	$97.72	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Professional		$70.79	$70.79	$70.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $316.23 / $389.05	Professional		$134.90	$316.23	$389.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $134.90 / $181.97	Facility		$107.15	$134.90	$181.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $141.25 / $194.98	Professional		$131.83	$141.25	$194.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $169.82 / $177.83	Facility		$141.25	$169.82	$177.83
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $177.83 / $177.83	Professional		$158.49	$177.83	$177.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $141.25 / $204.17	Facility		$85.11	$141.25	$204.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $154.88 / $186.21	Professional		$70.79	$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 $181.97 / $199.53 / $199.53	Professional		$181.97	$199.53	$199.53
United Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $97.72 / $316.23	Facility		$89.13	$97.72	$316.23
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $72.44 / $138.04	Professional		$66.07	$72.44	$138.04