Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $123.03 / $363.08	Facility		$100.00	$123.03	$363.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $75.86 / $123.03	Professional		$52.48	$75.86	$123.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $213.80 / $281.84	Facility		$131.83	$213.80	$281.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $79.43 / $144.54	Professional		$52.48	$79.43	$144.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $173.78 / $204.17	Professional		$81.28	$173.78	$204.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $100.00	Facility		$81.28	$81.28	$100.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $109.65 / $158.49	Professional		$81.28	$109.65	$158.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $154.88	Facility		$81.28	$81.28	$154.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $114.82 / $263.03	Facility		$77.62	$114.82	$263.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $89.13 / $131.83	Professional		$60.26	$89.13	$131.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $239.88 / $331.13	Facility		$120.23	$239.88	$331.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $81.28 / $102.33	Professional		$60.26	$81.28	$102.33
United Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $128.82	Facility		$95.50	$95.50	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $45.71 / $112.20	Professional		$33.88	$45.71	$112.20