Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.00 / $237.65 / $325.60	Facility		$130.00	$237.65	$325.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.14 / $123.00 / $478.00	Professional		$74.14	$123.00	$478.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.50 / $263.25 / $290.55	Facility		$162.50	$263.25	$290.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.81 / $105.48 / $179.17	Professional		$53.81	$105.48	$179.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $243.74 / $262.99	Professional		$100.00	$243.74	$262.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $138.71 / $249.83	Facility		$97.00	$138.71	$249.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $125.00	Professional		$100.00	$100.00	$125.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $110.00 / $220.75	Facility		$100.00	$110.00	$220.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $106.70 / $124.85 / $263.25	Facility		$106.70	$124.85	$263.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $96.86 / $110.00 / $140.00	Professional		$96.86	$110.00	$140.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $195.00 / $304.30 / $413.14	Facility		$195.00	$304.30	$413.14
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $76.55 / $95.51 / $246.15	Professional		$76.55	$95.51	$246.15
United Facility/Professional Professional Modifier Low / Median / High Price $42.00 / $42.00 / $120.00	Professional		$42.00	$42.00	$120.00