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 $70.79 / $100.00 / $263.03	Professional		$70.79	$100.00	$263.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,548.82	Facility		$1,548.82	$1,548.82	$1,548.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $223.87 / $245.47	Professional		$186.21	$223.87	$245.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $162.18 / $263.03	Facility		$95.50	$162.18	$263.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $389.05 / $501.19	Professional		$123.03	$389.05	$501.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $93.33 / $524.81	Facility		$50.12	$93.33	$524.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $190.55 / $562.34	Facility		$95.50	$190.55	$562.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $114.82 / $537.03	Professional		$79.43	$114.82	$537.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,862.09 / $2,398.83	Facility		$1,513.56	$1,862.09	$2,398.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $204.17 / $263.03	Professional		$158.49	$204.17	$263.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,089.30 / $2,754.23	Facility		$1,659.59	$2,089.30	$2,754.23
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $151.36 / $275.42	Professional		$81.28	$151.36	$275.42