Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Facility		$114.82	$114.82	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $104.71 / $162.18	Professional		$83.18	$104.71	$162.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $67.61	Facility		$67.61	$67.61	$67.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Professional		$57.54	$57.54	$57.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $380.19 / $467.74	Professional		$144.54	$380.19	$467.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $144.54 / $199.53	Facility		$114.82	$144.54	$199.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $151.36 / $208.93	Professional		$141.25	$151.36	$208.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $190.55 / $194.98	Facility		$186.21	$190.55	$194.98
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $190.55	Professional		$151.36	$151.36	$190.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $158.49 / $239.88	Facility		$97.72	$158.49	$239.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $165.96 / $199.53	Professional		$57.54	$165.96	$199.53
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $269.15 / $724.44	Facility		$158.49	$269.15	$724.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $213.80 / $213.80	Professional		$194.98	$213.80	$213.80
United Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $281.84 / $380.19	Facility		$114.82	$281.84	$380.19
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $87.10 / $165.96	Professional		$77.62	$87.10	$165.96