Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.67 / $105.00 / $133.22	Facility		$104.67	$105.00	$133.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.75 / $127.08 / $273.60	Professional		$97.75	$127.08	$273.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $221.36 / $221.36 / $221.36	Facility		$221.36	$221.36	$221.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.07 / $115.07 / $115.07	Professional		$115.07	$115.07	$115.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $61.55 / $137.06 / $164.26	Professional		$61.55	$137.06	$164.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $104.67 / $130.27 / $225.04	Facility		$104.67	$130.27	$225.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $102.74 / $102.74 / $107.45	Professional		$102.74	$102.74	$107.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $90.09 / $127.50 / $129.31	Facility		$90.09	$127.50	$129.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $103.07 / $135.44 / $225.04	Facility		$103.07	$135.44	$225.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $93.28 / $115.07 / $162.35	Professional		$93.28	$115.07	$162.35
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $171.66 / $209.56 / $252.20	Facility		$171.66	$209.56	$252.20
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $110.83 / $110.83 / $110.83	Professional		$110.83	$110.83	$110.83
United Facility/Professional Professional Modifier Low / Median / High Price $105.82 / $123.14 / $123.29	Professional		$105.82	$123.14	$123.29