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 $56.08 / $103.50 / $133.91	Facility		$56.08	$103.50	$133.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $78.36 / $78.36 / $78.36	Professional		$78.36	$78.36	$78.36
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 $60.93 / $102.36 / $133.91	Facility		$60.93	$102.36	$133.91
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 / $212.53 / $342.98	Professional		$117.70	$212.53	$342.98