Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $373.94 / $373.94 / $652.50	Facility		$373.94	$373.94	$652.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.00 / $127.50 / $145.50	Professional		$108.00	$127.50	$145.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $243.75 / $243.75 / $435.83	Facility		$243.75	$243.75	$435.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.75 / $87.75 / $87.75	Professional		$87.75	$87.75	$87.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $329.55 / $394.91	Professional		$150.00	$329.55	$394.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $112.50 / $157.50 / $330.00	Facility		$112.50	$157.50	$330.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $165.00 / $210.00	Professional		$150.00	$165.00	$210.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $168.00 / $262.50	Facility		$150.00	$168.00	$262.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $135.00 / $190.50 / $363.54	Facility		$135.00	$190.50	$363.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $165.00 / $165.00 / $210.00	Professional		$165.00	$165.00	$210.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $456.45 / $588.89	Facility		$300.00	$456.45	$588.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $294.66 / $472.15	Professional		$239.88	$294.66	$472.15
United Facility/Professional Professional Modifier Low / Median / High Price $63.00 / $63.00 / $157.50	Professional		$63.00	$63.00	$157.50