Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $376.74 / $376.74 / $376.74	Facility		$376.74	$376.74	$376.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.43 / $78.26 / $371.26	Professional		$57.43	$78.26	$371.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.66 / $104.66 / $104.66	Facility		$104.66	$104.66	$104.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.96 / $88.96 / $104.66	Professional		$88.96	$88.96	$104.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $90.07 / $249.29 / $325.13	Professional		$90.07	$249.29	$325.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $78.26 / $107.22 / $128.66	Facility		$78.26	$107.22	$128.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $95.68 / $122.24 / $135.10	Professional		$95.68	$122.24	$135.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $115.80 / $128.66 / $146.59	Facility		$115.80	$128.66	$146.59
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $128.66 / $128.66 / $128.66	Professional		$128.66	$128.66	$128.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $78.26 / $105.57 / $128.66	Facility		$78.26	$105.57	$128.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $88.96 / $112.67 / $141.54	Professional		$88.96	$112.67	$141.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $107.20 / $213.98 / $451.42	Facility		$107.20	$213.98	$451.42
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $111.94 / $141.54 / $141.54	Professional		$111.94	$141.54	$141.54
United Facility/Professional Professional Modifier Low / Median / High Price $55.31 / $58.76 / $115.01	Professional		$55.31	$58.76	$115.01