Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Facility		$107.15	$107.15	$107.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $89.13 / $134.90	Professional		$45.71	$89.13	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $83.18	Professional		$83.18	$83.18	$83.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $43.65 / $114.82	Professional		$33.11	$43.65	$114.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $107.15 / $234.42	Facility		$52.48	$107.15	$234.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $107.15 / $141.25	Professional		$42.66	$107.15	$141.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $6.92 / $190.55 / $302.00	Facility		$6.92	$190.55	$302.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $75.86 / $138.04	Facility		$11.22	$75.86	$138.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $79.43 / $112.20	Professional		$15.85	$79.43	$112.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,000.00 / $1,202.26	Facility		$707.95	$1,000.00	$1,202.26
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $112.20 / $218.78	Professional		$39.81	$112.20	$218.78
United Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $812.83 / $1,071.52	Facility		$660.69	$812.83	$1,071.52
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $123.03 / $263.03	Professional		$70.79	$123.03	$263.03