Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $174.00 / $336.00	Facility		$150.00	$174.00	$336.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.40 / $116.40 / $234.00	Professional		$86.40	$116.40	$234.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $195.00 / $237.27 / $348.66	Facility		$195.00	$237.27	$348.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.27 / $132.37 / $215.01	Professional		$105.27	$132.37	$215.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $263.50 / $315.76	Professional		$120.00	$263.50	$315.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $126.00 / $264.00	Facility		$90.00	$126.00	$264.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $120.00 / $162.00	Professional		$120.00	$120.00	$162.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $120.00 / $126.00 / $264.89	Facility		$120.00	$126.00	$264.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $126.00 / $151.80 / $291.33	Facility		$126.00	$151.80	$291.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $126.35 / $138.00 / $172.80	Professional		$126.35	$138.00	$172.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $234.00 / $365.16 / $471.11	Facility		$234.00	$365.16	$471.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $211.87 / $236.13 / $377.29	Professional		$211.87	$236.13	$377.29
United Facility/Professional Professional Modifier Low / Median / High Price $50.40 / $50.40 / $126.00	Professional		$50.40	$50.40	$126.00