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 $64.57 / $102.33 / $123.03	Professional		$64.57	$102.33	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $134.90 / $138.04	Professional		$83.18	$134.90	$138.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $69.18 / $93.33	Professional		$50.12	$69.18	$93.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $102.33 / $147.91	Facility		$37.15	$102.33	$147.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $100.00 / $123.03	Professional		$69.18	$100.00	$123.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $46.77 / $162.18	Facility		$33.88	$46.77	$162.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $100.00 / $134.90	Facility		$53.70	$100.00	$134.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $134.90 / $138.04	Professional		$79.43	$134.90	$138.04
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $173.78 / $213.80	Professional		$67.61	$173.78	$213.80
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $194.98 / $281.84	Professional		$107.15	$194.98	$281.84