Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,537.06 / $1,537.06 / $1,537.06	Facility		$1,537.06	$1,537.06	$1,537.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.78 / $317.11 / $395.13	Professional		$95.78	$317.11	$395.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.20 / $115.20 / $842.00	Facility		$115.20	$115.20	$842.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.26 / $129.18 / $481.76	Professional		$55.26	$129.18	$481.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $155.43 / $184.65 / $279.72	Professional		$155.43	$184.65	$279.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $103.97 / $349.94 / $616.21	Facility		$103.97	$349.94	$616.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $103.80 / $155.44 / $207.03	Facility		$103.80	$155.44	$207.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $108.99 / $395.13 / $622.33	Facility		$108.99	$395.13	$622.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $129.18 / $211.97 / $481.76	Professional		$129.18	$211.97	$481.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $162.44 / $253.53 / $569.15	Professional		$162.44	$253.53	$569.15
United Facility/Professional Professional Modifier Low / Median / High Price $259.05 / $386.66 / $905.83	Professional		$259.05	$386.66	$905.83