Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Facility		$123.03	$123.03	$123.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.93 / $102.36 / $123.03	Professional		$60.93	$102.36	$123.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.56 / $96.56 / $96.56	Facility		$96.56	$96.56	$96.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.40 / $109.06 / $298.13	Professional		$83.40	$109.06	$298.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $34.25 / $47.08 / $60.34	Professional		$34.25	$47.08	$60.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $39.32 / $112.92 / $135.33	Facility		$39.32	$112.92	$135.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $31.65 / $47.09 / $163.47	Facility		$31.65	$47.09	$163.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $39.32 / $112.92 / $135.33	Facility		$39.32	$112.92	$135.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $49.39 / $138.60 / $184.80	Professional		$49.39	$138.60	$184.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $105.37 / $167.32 / $228.78	Professional		$105.37	$167.32	$228.78
United Facility/Professional Professional Modifier Low / Median / High Price $117.70 / $206.37 / $325.68	Professional		$117.70	$206.37	$325.68