Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Facility		$117.49	$117.49	$117.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $107.15 / $169.82	Professional		$83.18	$107.15	$169.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Facility		$120.23	$120.23	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Professional		$87.10	$87.10	$87.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $389.05 / $478.63	Professional		$147.91	$389.05	$478.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $147.91 / $204.17	Facility		$117.49	$147.91	$204.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $154.88 / $208.93	Professional		$144.54	$154.88	$208.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $190.55 / $199.53	Facility		$154.88	$190.55	$199.53
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $194.98 / $199.53	Professional		$173.78	$194.98	$199.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $162.18 / $245.47	Facility		$102.33	$162.18	$245.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $169.82 / $204.17	Professional		$79.43	$169.82	$204.17
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $275.42 / $741.31	Facility		$162.18	$275.42	$741.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $218.78 / $218.78	Professional		$199.53	$218.78	$218.78
United Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $288.40 / $389.05	Facility		$117.49	$288.40	$389.05
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $89.13 / $169.82	Professional		$79.43	$89.13	$169.82